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General NPI Number Information
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NPI Number | 1255931895
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Entity Type | Individual
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Provider Name | LISA KALNING HOWERTON RPH
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Gender | Female
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 2410 SHEILA LN
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City | RICHMOND
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State | VA
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Zip | 23225-2040
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Country | US
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Telephone | 804-320-0099
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Fax | 804-320-0845
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Provider Business Mailing Address
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Address Line | 12070 TRAILBROOK DR
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City | CHESTERFIELD
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State | VA
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Zip | 23838-2951
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Country | US
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Telephone | 804-229-4321
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Fax | 804-320-0845
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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 | 0202007394
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License Number State | VA
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