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General NPI Number Information
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NPI Number | 1093021073
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Entity Type | Individual
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Provider Name | LINDSEY BISE KITCHENS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 255 OCOEE CROSSING
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City | CLEVELAND
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State | TN
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Zip | 37312
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Country | US
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Telephone | 423-473-1746
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Fax | 423-473-0846
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Provider Business Mailing Address
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Address Line | 255 OCOEE CROSSING
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City | CLEVELAND
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State | TN
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Zip | 37312
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Country | US
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Telephone | 423-473-1746
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Fax | 423-473-0846
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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 | 34231
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License Number State | TN
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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 | 0000034231
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS47288
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License Number State | FL
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