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General NPI Number Information
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NPI Number | 1073237319
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Entity Type | Individual
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Provider Name | KAITLYN CLAYBROOK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 1725 PINE ST
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City | MONTGOMERY
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State | AL
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Zip | 36106-1117
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Country | US
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Telephone | 334-293-8781
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Fax |
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Provider Business Mailing Address
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Address Line | 1358 VALLEYVIEW RD
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City | PRATTVILLE
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State | AL
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Zip | 36067-7229
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Country | US
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Telephone | 334-235-4676
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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 | 21419
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License Number State | AL
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