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General NPI Number Information
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NPI Number | 1245765064
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Entity Type | Individual
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Provider Name | DANIELLE HOPE MCCLELLAND PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2017
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 4241 IRWIN SIMPSON RD BLDG II
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City | MASON
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State | OH
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Zip | 45040
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Country | US
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Telephone | 866-787-6341
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Fax | 614-410-2009
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Provider Business Mailing Address
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Address Line | 5792 MEDALLION DR W
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City | WESTERVILLE
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State | OH
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Zip | 43082
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Country | US
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Telephone | 614-805-4481
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Fax | 614-410-2009
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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 | 03233308
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License Number State | OH
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