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General NPI Number Information
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NPI Number | 1427460880
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Entity Type | Individual
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Provider Name | PATRICIA LANGENDERFER
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Gender | Female
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 10055 OLD US 20
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City | ROSSFORD
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State | OH
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Zip | 43460-1729
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Country | US
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Telephone | 419-873-4110
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Fax | 419-873-4165
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Provider Business Mailing Address
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Address Line | 10055 OLD US 20
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City | ROSSFORD
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State | OH
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Zip | 43460-1729
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Country | US
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Telephone | 419-873-4110
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Fax | 419-873-4165
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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 | 03317036
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License Number State | OH
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