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General NPI Number Information
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NPI Number | 1558635300
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Entity Type | Individual
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Provider Name | NICHELLE LAWRENCE RPH
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Gender | Female
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Dates
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Enumeration Date | 02/25/2012
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Last Update Date | 02/25/2012
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Provider Practice Location Address
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Address Line | 2920 HARRISON AVE
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City | CINCINNATI
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State | OH
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Zip | 45211-6724
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Country | US
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Telephone | 513-435-5123
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 HARRISON AVE
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City | CINCINNATI
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State | OH
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Zip | 45211-6724
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Country | US
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Telephone | 513-435-5123
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 03-3-18521
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 26024368A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 5302035869
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License Number State | MI
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