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General NPI Number Information
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NPI Number | 1194329417
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Entity Type | Individual
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Provider Name | KERRI L RYAN RPH
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Gender | Female
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Dates
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Enumeration Date | 11/27/2020
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Last Update Date | 11/27/2020
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Provider Practice Location Address
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Address Line | 8 KOCHER DR
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City | BENNINGTON
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State | VT
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Zip | 05201-1923
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Country | US
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Telephone | 802-442-8369
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Fax | 802-447-3174
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Provider Business Mailing Address
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Address Line | 8 KOCHER DR
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City | BENNINGTON
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State | VT
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Zip | 05201-1923
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Country | US
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Telephone | 802-442-8369
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Fax | 802-447-3174
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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 | 23966
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License Number State | MA
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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 | 050274
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License Number State | NY
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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 | 3441
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License Number State | VT
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