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General NPI Number Information
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NPI Number | 1235743295
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Entity Type | Organization
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Legal Business Name | KP AND RD LLC
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Dates
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Enumeration Date | 09/06/2020
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 728 N GREENWOOD AVE
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City | WARE SHOALS
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State | SC
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Zip | 29692-1233
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Country | US
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Telephone | 864-606-0088
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Fax | 864-301-8466
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Provider Business Mailing Address
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Address Line | P.O.BOX: 727
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-9998
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Country | US
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Telephone | 864-606-0088
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Fax | 864-301-8466
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Authorized Official
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Title or Position | PARTNER
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Name | JAYSHRIBEN A PATEL
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Credential |
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Telephone | 864-519-9755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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