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General NPI Number Information
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NPI Number | 1508503806
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Entity Type | Individual
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Provider Name | LYNNANN MARIE CASLIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 506 S FRANKLIN ST
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City | WATKINS GLEN
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State | NY
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Zip | 14891-1524
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Country | US
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Telephone | 607-535-7350
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Fax |
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Provider Business Mailing Address
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Address Line | 198 W 1ST ST
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City | CORNING
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State | NY
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Zip | 14830-2512
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Country | US
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Telephone | 607-215-1988
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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