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General NPI Number Information
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NPI Number | 1063863165
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Entity Type | Individual
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Provider Name | CATHERINE RUTH KRAFT PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 901 S BURR ST
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City | MITCHELL
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State | SD
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Zip | 57301-4731
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Country | US
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Telephone | 605-996-3179
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Fax |
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Provider Business Mailing Address
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Address Line | 23238 378TH AVE
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City | WESSINGTON SPRINGS
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State | SD
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Zip | 57382-6215
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Country | US
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Telephone | 712-209-1281
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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 | 22860
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 6393
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License Number State | SD
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