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General NPI Number Information
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NPI Number | 1285232652
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Entity Type | Individual
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Provider Name | KRISTIE LYNN RAINES RPH
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Gender | Female
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 241 HIGHWAY 31 SW
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City | HARTSELLE
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State | AL
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Zip | 35640-2855
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Country | US
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Telephone | 255-752-2102
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Fax |
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Provider Business Mailing Address
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Address Line | 705 COOPER LN SW
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City | HARTSELLE
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State | AL
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Zip | 35640-2604
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Country | US
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Telephone | 256-566-5033
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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 | AL11932
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License Number State | AL
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