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General NPI Number Information
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NPI Number | 1790381515
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Entity Type | Individual
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Provider Name | LYNN SHEMICK BS
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Gender | Female
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 425 EAST AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-5217
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Country | US
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Telephone | 401-722-8704
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Fax |
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Provider Business Mailing Address
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Address Line | 76 WINSOR RD
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City | FOSTER
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State | RI
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Zip | 02825-1937
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Country | US
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Telephone | 401-480-8597
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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 | 2234
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License Number State | RI
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