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General NPI Number Information
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NPI Number | 1932506565
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Entity Type | Individual
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Provider Name | VANITA LAKSHMI SUNDARARAMAN PHARM-D, BCPS, BCADM
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Gender | Female
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Dates
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Enumeration Date | 11/25/2014
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 380 SUMMIT AVE
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2667
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Country | US
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Telephone | 740-264-8232
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Fax |
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Provider Business Mailing Address
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Address Line | 1972 CARRIAGE HILL RD
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City | ALLISON PARK
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State | PA
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Zip | 15101-3318
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Country | US
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Telephone | 412-660-4883
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 03439398
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RP446190
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License Number State | PA
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