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General NPI Number Information
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NPI Number | 1083963185
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Entity Type | Individual
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Provider Name | KIMBERLY KYZER YOUNG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 1002 SAMS CROSSING RD
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City | COLUMBIA
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State | SC
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Zip | 29229
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Country | US
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Telephone | 803-788-0535
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Fax | 803-788-8750
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Provider Business Mailing Address
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Address Line | 1002 SAMS CROSSING RD
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City | COLUMBIA
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State | SC
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Zip | 29229
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Country | US
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Telephone | 803-788-0535
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Fax | 803-788-8750
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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 | 012153
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License Number State | SC
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