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General NPI Number Information
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NPI Number | 1114324027
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Entity Type | Individual
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Provider Name | HANNA MICHELLE LEE PHARM D
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Gender | Female
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 750 MAIN ST SUITE 104E
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City | REISTERSTOWN
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State | MD
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Zip | 21136-2515
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Country | US
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Telephone | 410-526-2960
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Fax | 410-526-2965
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Provider Business Mailing Address
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Address Line | 6042 TALBOT DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-7186
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Country | US
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Telephone | 301-908-6349
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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 | 22799
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License Number State | MD
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