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General NPI Number Information
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NPI Number | 1992307706
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Entity Type | Individual
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Provider Name | LAUREN ASHLEY NICKELL PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 3605 WARRENSVILLE CENTER RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-5203
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Country | US
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Telephone | 216-237-5447
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Fax | 216-249-9269
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Provider Business Mailing Address
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Address Line | 3800 PARK EAST DR APT 424
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City | BEACHWOOD
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State | OH
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Zip | 44122-0150
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Country | US
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Telephone | 720-317-1337
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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 | 21887
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License Number State | CO
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