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General NPI Number Information
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NPI Number | 1255578654
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Entity Type | Individual
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Provider Name | KATHERINE LOUISE HIRST RPH
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Gender | Female
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 2405 VESTAL PARKWAY EASY
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City | VESTAL
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State | NY
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Zip | 13850
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Country | US
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Telephone | 607-798-1544
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Fax |
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Provider Business Mailing Address
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Address Line | 525 EDSON RD
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City | ENDICOTT
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State | NY
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Zip | 13760-6446
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Country | US
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Telephone | 607-759-5892
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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 | 045221
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License Number State | NY
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