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General NPI Number Information
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NPI Number | 1477844033
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Entity Type | Individual
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Provider Name | MS. LAKSHMI PADMANABHAN
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Gender | Female
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Dates
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Enumeration Date | 04/29/2011
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 1560 PARKMAN ROAD RITE AID PHARMACY
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City | WARREN
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State | OH
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Zip | 44485
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Country | US
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Telephone | 330-392-7555
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Fax |
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Provider Business Mailing Address
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Address Line | 3745 E MARKET ST #214
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City | WARREN
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State | OH
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Zip | 44484-4721
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Country | US
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Telephone | 810-210-9199
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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 | 03228232
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License Number State | OH
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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 | 5302034106
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License Number State | MI
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