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General NPI Number Information
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NPI Number | 1528660313
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Entity Type | Individual
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Provider Name | YOLANDE LEWIS RPH
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Gender | Female
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 4900 JENNIFER TER
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City | SPRINGDALE
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State | AR
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Zip | 72762-5274
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Country | US
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Telephone | 479-927-1867
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Fax |
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Provider Business Mailing Address
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Address Line | 1403 SCOUT TRL
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761-3039
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Country | US
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Telephone | 404-394-2170
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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 | 07246
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License Number State | AR
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