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General NPI Number Information
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NPI Number | 1316018799
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Entity Type | Individual
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Provider Name | ASHLEY HIGGINS KUNKLE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2624 MEREDYTH DR
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City | ALBANY
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State | GA
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Zip | 31707-0206
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Country | US
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Telephone | 229-435-2328
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Fax | 229-435-5354
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Provider Business Mailing Address
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Address Line | 433 NORTHAMPTON RD
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City | LEESBURG
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State | GA
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Zip | 31763-4527
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Country | US
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Telephone |
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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 | RPH023060
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License Number State | GA
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