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NPI 1174153001

NPI 1174153001 : ANDREA LEIGH WINDSOR PHARMD : WESTFIELD, IN

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General NPI Number Information
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    NPI Number           |    1174153001
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREA LEIGH WINDSOR PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/20/2020
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    Last Update Date     |    01/20/2020
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Provider Practice Location Address
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    Address Line         |    17447 CAREY RD 
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    City                 |    WESTFIELD
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    State                |    IN
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    Zip                  |    46074-9439
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    Country              |    US
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    Telephone            |    317-867-3022
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    757 ASCOT FARM WAY 
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    City                 |    WESTFIELD
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    State                |    IN
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    Zip                  |    46074-7752
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    Country              |    US
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    Telephone            |    716-581-3581
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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       |    56576
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    License Number State |    TX
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Taxonomy #2
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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       |    PS55886
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    License Number State |    FL
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Taxonomy #3
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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       |    26028557A
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    License Number State |    IN
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