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General NPI Number Information
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NPI Number | 1174819270
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Entity Type | Individual
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Provider Name | LINDSEY MARIE MCCLISH PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 4920 S 107TH ST
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City | TUKWILA
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State | WA
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Zip | 98178-2022
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Country | US
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Telephone | 971-701-0841
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Fax |
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Provider Business Mailing Address
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Address Line | 903 MOCK RD
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City | BELLVILLE
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State | OH
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Zip | 44813-9198
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Country | US
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Telephone | 419-886-3033
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC61487455
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License Number State | WA
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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 | 06007460
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License Number State | OH
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