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General NPI Number Information
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NPI Number | 1841503372
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Entity Type | Individual
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Provider Name | PAUL WILLIAM HANEY PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 23940 NE STATE ROUTE 3
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City | BELFAIR
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State | WA
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Zip | 98528-9697
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Country | US
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Telephone | 360-275-8964
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3233
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City | BELFAIR
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State | WA
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Zip | 98528-3233
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Country | US
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Telephone | 360-275-5596
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH00043336
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11012
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License Number State | NE
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