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General NPI Number Information
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NPI Number | 1043976996
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Entity Type | Individual
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Provider Name | KINDRA LEA SLOAN
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Gender | Female
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 1801 HIGHWAY 78 E
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City | JASPER
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State | AL
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Zip | 35501-4037
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Country | US
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Telephone | 205-221-5110
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 SHIPP RD
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City | HAYDEN
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State | AL
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Zip | 35079-8740
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Country | US
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Telephone | 205-908-5985
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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 | 14637
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License Number State | AL
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