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General NPI Number Information
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NPI Number | 1831499151
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Entity Type | Individual
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Provider Name | LEE ANNE MATHENA TADLOCK PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 5791 CLEVELAND AVE
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City | COLUMBUS
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State | OH
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Zip | 43231-2831
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Country | US
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Telephone | 614-426-4160
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Fax | 614-426-4170
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Provider Business Mailing Address
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Address Line | 5791 CLEVELAND AVE
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City | COLUMBUS
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State | OH
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Zip | 43231-2831
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Country | US
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Telephone | 614-426-4160
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Fax | 614-426-4170
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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 | 19781
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License Number State | NC
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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 | 31770
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License Number State | OH
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