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General NPI Number Information
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NPI Number | 1962853648
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Entity Type | Individual
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Provider Name | LYNN RHEINECKER PHARM.D., R.PH.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2016
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1 GOOD SAMARITAN WAY
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City | MOUNT VERNON
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State | IL
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Zip | 62864-2402
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Country | US
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Telephone | 618-899-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 6873 OLD HIGHWAY 13
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City | CARBONDALE
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State | IL
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Zip | 62901-5468
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Country | US
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Telephone | 618-967-9946
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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 | 051298734
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License Number State | IL
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