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General NPI Number Information
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NPI Number | 1205353547
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Entity Type | Individual
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Provider Name | KRISTAL LYNN ROSS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 939 GIOVANNI LANE
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City | IRWIN
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State | PA
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Zip | 15642
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Country | US
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Telephone | 412-401-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 939 GIOVANNI LN
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City | IRWIN
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State | PA
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Zip | 15642-6520
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Country | US
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Telephone | 412-401-1909
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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 | RP439885
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License Number State | PA
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