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General NPI Number Information
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NPI Number | 1306259585
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Entity Type | Individual
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Provider Name | MR. JOHN KENSINGER II
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Gender | Male
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 528 W PLANK RD
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City | ALTOONA
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State | PA
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Zip | 16602-2802
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Country | US
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Telephone | 814-946-3610
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Fax | 814-944-2102
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Provider Business Mailing Address
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Address Line | 396 RIDGEWOOD DR
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City | NEW PARIS
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State | PA
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Zip | 15554-8635
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Country | US
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Telephone | 814-839-4809
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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 | RP035094L
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License Number State | PA
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