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General NPI Number Information
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NPI Number | 1932188018
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Entity Type | Individual
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Provider Name | LESLEY NICOLE HINES PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | NAVAL HEALTH CLINIC, BLDG 137 NAVAL AIR STATION JOINT RESERVE BASE WILLOW GROVE
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City | WILLOW GROVE
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State | PA
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Zip | 19090
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Country | US
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Telephone | 215-773-2402
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Fax | 215-773-2409
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Provider Business Mailing Address
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Address Line | 3002 SUMMER MEADOW DR
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-1320
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Country | US
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Telephone | 610-385-1107
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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 | PH00051701
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License Number State | WA
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