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General NPI Number Information
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NPI Number | 1306438205
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Entity Type | Individual
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Provider Name | CLARA H KIM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 1001 SHILOH GLENN DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-5416
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Country | US
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Telephone | 919-474-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 933 PROVIDENCE GLEN DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-6500
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Country | US
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Telephone | 786-368-1185
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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 | 28RI04128700
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License Number State | NJ
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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 | 30051
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License Number State | NC
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