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General NPI Number Information
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NPI Number | 1043098262
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Entity Type | Individual
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Provider Name | KELLI PHIPPS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 25 W 39TH ST
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City | NEW YORK
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State | NY
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Zip | 10018-3805
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Country | US
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Telephone | 888-888-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 1074 WOODLOW ST
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City | PITTSBURGH
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State | PA
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Zip | 15205-3425
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Country | US
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Telephone | 724-498-7174
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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 | RP445937
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License Number State | PA
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