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General NPI Number Information
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NPI Number | 1548863640
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Entity Type | Individual
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Provider Name | LINDSEY PETERSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 105 S SPORTING HILL RD
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City | MECHANICSBURG
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State | PA
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Zip | 17050-3058
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Country | US
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Telephone | 717-763-4860
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Fax | 717-763-0591
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Provider Business Mailing Address
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Address Line | 1199 KUHN RD
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City | BOILING SPRINGS
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State | PA
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Zip | 17007-9631
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Country | US
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Telephone | 814-243-6176
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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 | RP442163
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License Number State | PA
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