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General NPI Number Information
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NPI Number | 1235656703
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Entity Type | Individual
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Provider Name | RENEE CHARLOTTE LOPICCOLA RPH
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Gender | Female
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 08/25/2017
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Provider Practice Location Address
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Address Line | 9301 CONNECTICUT DR
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City | CROWN POINT
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State | IN
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Zip | 46307-7486
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Country | US
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Telephone | 219-769-4003
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Fax |
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Provider Business Mailing Address
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Address Line | 3065 182ND PL
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City | LANSING
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State | IL
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Zip | 60438-3006
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Country | US
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Telephone | 708-837-5568
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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 | 26018814A
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License Number State | IN
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