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General NPI Number Information
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NPI Number | 1346652369
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Entity Type | Individual
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Provider Name | KRISTEN NICOLE GARDNER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2014
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Last Update Date | 05/26/2014
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Provider Practice Location Address
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Address Line | 101 MANNING DR DEPARTMENT OF PHARMACY, CB #7600
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4220
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Country | US
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Telephone | 919-843-0337
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Fax |
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Provider Business Mailing Address
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Address Line | 605 JONES FERRY RD APT #SS13
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City | CARRBORO
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State | NC
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Zip | 27510-2106
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Country | US
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Telephone | 304-670-6553
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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 | 23307
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License Number State | NC
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