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General NPI Number Information
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NPI Number | 1023613460
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Entity Type | Individual
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Provider Name | KATHERINE ANN KUNKEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/03/2020
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 7979 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2042
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Country | US
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Telephone | 317-621-3801
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Fax | 317-621-5418
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Provider Business Mailing Address
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Address Line | 8441 FAIRWIND CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1544
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 26026668A
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License Number State | IN
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