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General NPI Number Information
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NPI Number | 1184217747
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Entity Type | Individual
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Provider Name | KATHRYN CORLETT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/15/2021
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 214 W BOWERY ST
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City | AKRON
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State | OH
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Zip | 44308-1046
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Country | US
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Telephone | 330-543-4299
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 HAMILTON DR
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-4400
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Country | US
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Telephone | 440-539-1219
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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 | 1835C0205X
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Taxonomy Name | Critical Care Pharmacist
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License Number | 03135509
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1835P0200X
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Taxonomy Name | Pediatric Pharmacist
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License Number | 03135509
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License Number State | OH
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Taxonomy #3
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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 | 03135509
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License Number State | OH
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