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General NPI Number Information
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NPI Number | 1275071250
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Entity Type | Individual
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Provider Name | JENNIFER R PANDER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 6663 PECK RD
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City | RAVENNA
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State | OH
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Zip | 44266-9112
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Country | US
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Telephone | 724-685-1135
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Fax |
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Provider Business Mailing Address
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Address Line | 6663 PECK RD
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City | RAVENNA
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State | OH
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Zip | 44266-9112
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Country | US
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Telephone | 724-685-1135
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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 | RP450058
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License Number State | PA
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