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General NPI Number Information
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NPI Number | 1487639266
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Entity Type | Individual
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Provider Name | LORI LYNN WOODSON RPH, MBA
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Gender | Female
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CLEVELAND CLINIC FOUNDATION EUCLID AVENUE PHARMACY 9211 EUCLID AVENUE, JJ10
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-8286
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Fax | 216-445-6015
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Provider Business Mailing Address
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Address Line | 5171 AUSTEN LN
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-2768
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Country | US
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Telephone | 440-460-0014
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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 | 03-2-15714
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License Number State | OH
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