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General NPI Number Information
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NPI Number | 1497052641
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Entity Type | Individual
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Provider Name | KERRI LEA LEMON RPH
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Gender | Female
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 168 MAIN ST
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City | SUTTON
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State | WV
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Zip | 26601-1308
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Country | US
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Telephone | 304-765-2562
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Fax | 304-765-2575
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Provider Business Mailing Address
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Address Line | 4526 GAULEY TPKE
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City | HEATERS
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State | WV
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Zip | 26627-7002
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Country | US
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Telephone | 304-765-5324
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Fax | 304-765-2575
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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 | 5850
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License Number State | WV
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