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NPI 1992087787

NPI 1992087787 : MELISSA LONCHYNA R.PH., PHARM.D. : MENTOR ON THE LAKE, OH

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General NPI Number Information
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    NPI Number           |    1992087787
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA LONCHYNA R.PH., PHARM.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/16/2011
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    Last Update Date     |    09/16/2011
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Provider Practice Location Address
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    Address Line         |    6101 ANDREWS RD 
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    City                 |    MENTOR ON THE LAKE
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    State                |    OH
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    Zip                  |    44060
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    Country              |    US
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    Telephone            |    440-209-8391
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    781 KENNELWOOD DR 
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    City                 |    HIGHLAND HTS
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    State                |    OH
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    Zip                  |    44143-3253
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    Country              |    US
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    Telephone            |    
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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       |    03230143
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    License Number State |    OH
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