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General NPI Number Information
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NPI Number | 1316231673
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Entity Type | Individual
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Provider Name | MRS. RUBINA JOHN KADANTHODE
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Gender | Female
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Dates
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Enumeration Date | 06/04/2011
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | 1202 S JAMES CAMPBELL
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City | COLUMBIA
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State | TN
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Zip | 38401
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Country | US
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Telephone | 931-388-9004
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Fax | 931-840-5742
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Provider Business Mailing Address
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Address Line | 7000 THRUSH PL
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City | SPRING HILL
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State | TN
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Zip | 37174-6250
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Country | US
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Telephone | 615-838-5104
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Fax | 931-560-2144
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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 | 28283
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License Number State | TN
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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 | 28283
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License Number State | TN
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