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General NPI Number Information
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NPI Number | 1144715616
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Entity Type | Individual
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Provider Name | KARA KINKO WHITE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 450 NORTHSIDE CHEROKEE BLVD
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City | CANTON
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State | GA
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Zip | 30115-8015
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Country | US
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Telephone | 334-231-1073
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Fax |
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Provider Business Mailing Address
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Address Line | 1836 ROSWELL ST SE APT 1404
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City | SMYRNA
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State | GA
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Zip | 30080-2248
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Country | US
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Telephone | 334-231-1073
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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 | RPH030392
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License Number State | GA
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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 | 20163
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License Number State | AL
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