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General NPI Number Information
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NPI Number | 1235601220
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Entity Type | Individual
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Provider Name | LISA ANN OLEJNIK RPH
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Gender | Female
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Dates
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Enumeration Date | 01/01/2019
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Last Update Date | 01/01/2019
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Provider Practice Location Address
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Address Line | 140 CONTINENTAL BLVD
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City | DANVILLE
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State | PA
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Zip | 17821-1089
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Country | US
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Telephone | 570-271-0624
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 ASPEN DR
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City | MOUNTAIN TOP
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State | PA
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Zip | 18707-9102
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Country | US
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Telephone | 570-762-7180
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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 | RP040042L
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License Number State | PA
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