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General NPI Number Information
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NPI Number | 1598079667
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Entity Type | Individual
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Provider Name | LACY CHRISTINE MCCONNELL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2010
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 1195 REMOUNT RD
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-3528
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Country | US
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Telephone | 843-744-8896
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Fax |
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Provider Business Mailing Address
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Address Line | 7017 SW 90TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73169-3739
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Country | US
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Telephone | 843-860-8013
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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 | 12938
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License Number State | SC
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