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General NPI Number Information
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NPI Number | 1730653775
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Entity Type | Individual
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Provider Name | BRANDI RAE LESTER CPHT
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Gender | Female
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Dates
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Enumeration Date | 01/13/2019
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Last Update Date | 01/13/2019
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Provider Practice Location Address
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Address Line | 2326 GOLDFINCH ST APT C
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City | OAK HARBOR
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State | WA
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Zip | 98277-4783
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Country | US
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Telephone | 619-672-5935
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Fax |
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Provider Business Mailing Address
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Address Line | 2326 GOLDFINCH ST APT C
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City | OAK HARBOR
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State | WA
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Zip | 98277-4783
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Country | US
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Telephone | 619-672-5935
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 0000050463
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License Number State | TN
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