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General NPI Number Information
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NPI Number | 1316179609
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Entity Type | Individual
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Provider Name | RHIANNON MARIE LEUTNER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 431 MEADOWLARK ST
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City | SHAW A F B
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State | SC
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Zip | 29152-5019
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Country | US
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Telephone | 803-895-6429
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Fax |
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Provider Business Mailing Address
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Address Line | 431 MEADOWLARK STREET SHAW AFB, SC 29153
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City | APO
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State | AA
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Zip | 29153
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Country | US
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Telephone | 803-895-6429
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 17320
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License Number State | MD
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