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General NPI Number Information
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NPI Number | 1376896654
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Entity Type | Individual
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Provider Name | LESLIE LYNN GINGO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 815 FREEPORT RD
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City | PITTSBURGH
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State | PA
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Zip | 15215-3301
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Country | US
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Telephone | 412-784-7894
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Fax |
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Provider Business Mailing Address
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Address Line | 1603 TWIN OAKS DR
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City | SEWICKLEY
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State | PA
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Zip | 15143-8889
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Country | US
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Telephone | 412-367-7596
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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 | RP442314
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License Number State | PA
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