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General NPI Number Information
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NPI Number | 1598887622
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Entity Type | Individual
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Provider Name | JENNIFER LEIGH LOVENDUSKI RPH
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | KINNEY DRUGS 7395 UTICA BOULEVARD
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City | LOWVILLE
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State | NY
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Zip | 13367
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Country | US
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Telephone | 315-376-7551
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Fax | 315-376-4353
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Provider Business Mailing Address
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Address Line | 3413 NYS ROUTE 177
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City | LOWVILLE
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State | NY
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Zip | 13367-4301
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Country | US
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Telephone |
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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 | 047819-1
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License Number State | NY
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