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General NPI Number Information
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NPI Number | 1942979547
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Entity Type | Individual
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Provider Name | HEATHER EASTMAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 2700 COURT ST STE 4
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City | SYRACUSE
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State | NY
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Zip | 13208-3295
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Country | US
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Telephone | 315-233-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 354 COUNTY ROUTE 89
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City | OSWEGO
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State | NY
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Zip | 13126-6004
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Country | US
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Telephone | 315-529-9308
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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 | 068022
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License Number State | NY
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