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General NPI Number Information
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NPI Number | 1245201060
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Entity Type | Individual
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Provider Name | CAROL JEAN KESSLER R.PH
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | SCOTT CENTER ANNEX, NORFOLK NAVAL SHIPYARD BUILDING 1572
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City | PORTSMOUTH
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State | VA
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Zip | 23709-1515
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Country | US
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Telephone | 757-953-7462
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Fax |
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Provider Business Mailing Address
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Address Line | 4623 RIVER SHORE RD
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City | PORTSMOUTH
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State | VA
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Zip | 23703-1515
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Country | US
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Telephone | 757-484-6060
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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 | 0202010294
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License Number State | VA
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