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General NPI Number Information
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NPI Number | 1629359401
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Entity Type | Individual
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Provider Name | SHANE LINDSAY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 20260 ROUTE 19
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-6113
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Country | US
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Telephone | 724-742-1040
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Fax | 724-742-1053
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Provider Business Mailing Address
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Address Line | 20260 ROUTE 19
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-6113
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Country | US
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Telephone | 724-742-1040
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Fax | 724-742-1053
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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 | RP442282
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03227974
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPI000458
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License Number State | PA
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