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General NPI Number Information
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NPI Number | 1255346102
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Entity Type | Organization
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Legal Business Name | KLINGENSMITH DRUG INC
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 200 MARKET ST
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City | KITTANNING
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State | PA
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Zip | 16201-1525
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Country | US
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Telephone | 724-543-3400
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Fax | 724-548-2859
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Provider Business Mailing Address
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Address Line | PO BOX 151
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City | FORD CITY
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State | PA
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Zip | 16226-0151
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Country | US
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Telephone | 724-763-4028
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Fax |
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Authorized Official
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Title or Position | 3RD PARTY BILLING ADMIN
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Name | JAMIE DAVIS
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Credential |
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Telephone | 724-763-1201
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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 | PP410048L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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