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NPI 1306445374

NPI 1306445374 : LIZA PIROFSKY KREUTZER PHARM D : MONTGOMERY, AL

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General NPI Number Information
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    NPI Number           |    1306445374
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    Entity Type          |    Individual 
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    Provider Name        |    LIZA PIROFSKY KREUTZER PHARM D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/21/2020
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    Last Update Date     |    10/21/2020
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Provider Practice Location Address
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    Address Line         |    545 COTTON GIN RD 
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    City                 |    MONTGOMERY
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    State                |    AL
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    Zip                  |    36117-3552
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    Country              |    US
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    Telephone            |    334-396-9466
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    222 DOE RUN CT 
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    City                 |    PIKE ROAD
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    State                |    AL
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    Zip                  |    36064-4500
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    Country              |    US
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    Telephone            |    334-328-9571
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    20330
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    License Number State |    AL
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Taxonomy #2
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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       |    RPH028662
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    License Number State |    GA
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