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General NPI Number Information
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NPI Number | 1225311566
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Entity Type | Individual
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Provider Name | JENNIFER LYNN KAKANI PHARM D, RPH
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Gender | Female
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Dates
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Enumeration Date | 09/22/2011
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 68 W US 22 3
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City | MAINEVILLE
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State | OH
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Zip | 45039-9774
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Country | US
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Telephone | 513-774-0302
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Fax | 513-774-7285
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Provider Business Mailing Address
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Address Line | 8021 RIVER VISTA CT
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City | MAINEVILLE
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State | OH
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Zip | 45039-8114
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Country | US
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Telephone | 513-532-9405
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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 | 03225014
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License Number State | OH
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