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General NPI Number Information
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NPI Number | 1306254040
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Entity Type | Individual
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Provider Name | KIMBERLY N CROWHORN PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 5875 E FRANKLIN RD
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City | NAMPA
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State | ID
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Zip | 83687-5020
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Country | US
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Telephone | 208-461-8718
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Fax | 208-461-8720
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Provider Business Mailing Address
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Address Line | 5108 CLEVELAND BLVD
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City | CALDWELL
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State | ID
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Zip | 83607-8002
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Country | US
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Telephone | 208-455-0800
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Fax | 208-461-8720
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH0013090
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P6605
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License Number State | ID
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