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General NPI Number Information
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NPI Number | 1902124894
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Entity Type | Individual
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Provider Name | YAMROTE LAKEW RPH RN
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Gender | Female
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 112 HARCOURT RD # RDSTE2
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City | MOUNT VERNON
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State | OH
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Zip | 43050-3946
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Country | US
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Telephone | 740-326-6069
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Fax |
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Provider Business Mailing Address
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Address Line | 2833 BRYN MAWR DR
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City | LEWIS CENTER
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State | OH
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Zip | 43035-8915
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Country | US
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Telephone | 614-598-3001
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Fax | 740-879-3240
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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 | 03225040-2
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License Number State | OH
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