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General NPI Number Information
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NPI Number | 1134645773
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Entity Type | Individual
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Provider Name | SANDRA AXTELL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 08/15/2017
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Provider Practice Location Address
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Address Line | 6801 MAYFIELD ROAD BLDG 2, SUITE 444
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124
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Country | US
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Telephone | 440-312-5396
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Fax |
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Provider Business Mailing Address
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Address Line | CLEVELAND CLINIC - HILLCREST INPATIENT PHARMACY 6780 MAYFIELD RD
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 03124662
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License Number State | OH
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