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General NPI Number Information
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NPI Number | 1265022289
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Entity Type | Individual
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Provider Name | JENNIFER ERIN BONNELL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/23/2021
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Last Update Date | 01/23/2021
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Provider Practice Location Address
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Address Line | 111 S GRANT AVE
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City | COLUMBUS
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State | OH
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Zip | 43215-1898
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Country | US
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Telephone | 614-566-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 12127 PRAIRIE VIEW DR NW
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City | PICKERINGTON
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State | OH
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Zip | 43147-7630
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Country | US
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Telephone | 740-310-0029
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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 | 051295333
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License Number State | IL
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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 | 03332329
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License Number State | OH
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