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General NPI Number Information
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NPI Number | 1174813828
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Entity Type | Individual
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Provider Name | LINDSAY M VANDONKELAAR PHARM.D., RPH.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 973 WASHINGTON AVE
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City | HOLLAND
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State | MI
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Zip | 49423-5228
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Country | US
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Telephone | 616-392-5161
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Fax |
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Provider Business Mailing Address
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Address Line | 6608 WINDFLOWER WAY
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City | NORTON SHORES
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State | MI
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Zip | 49444-8769
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Country | US
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Telephone | 517-420-3949
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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 | 5302036366
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License Number State | MI
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