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General NPI Number Information
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NPI Number | 1144659988
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Entity Type | Individual
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Provider Name | CHRIS LYONS RPH
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Gender | Female
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 11/02/2013
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Provider Practice Location Address
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Address Line | 755 BOARDMAN CANFIELD RD STE P1
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City | BOARDMAN
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State | OH
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Zip | 44512-7325
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Country | US
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Telephone | 330-962-7479
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3351
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City | BOARDMAN
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State | OH
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Zip | 44513-3351
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Country | US
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Telephone | 330-962-7479
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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 | 03223436
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License Number State | OH
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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 | RP041004L
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License Number State | PA
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