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General NPI Number Information
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NPI Number | 1205833720
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Entity Type | Individual
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Provider Name | COLEEN MARY KAYDEN R.PH.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 205 E CHESTNUT ST
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City | LANCASTER
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State | PA
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Zip | 17602-2705
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Country | US
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Telephone | 717-393-3814
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Fax | 717-393-7537
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Provider Business Mailing Address
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Address Line | 1109 LETORT RD
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City | CONESTOGA
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State | PA
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Zip | 17516-9311
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Country | US
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Telephone | 717-872-9267
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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 | RP030192L
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License Number State | PA
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