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General NPI Number Information
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NPI Number | 1407386733
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Entity Type | Individual
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Provider Name | KIMBERLY GARRETT KURUCZ RPH
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Gender | Female
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 06/19/2017
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Provider Practice Location Address
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Address Line | 1420 US 231 SOUTH
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City | TROY
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State | AL
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Zip | 36081
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Country | US
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Telephone | 334-566-8009
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Fax | 334-566-5739
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Provider Business Mailing Address
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Address Line | 4351 COUNTY ROAD 4404
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City | BANKS
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State | AL
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Zip | 36005-3052
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Country | US
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Telephone | 334-243-4040
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Fax | 334-566-5739
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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 | 11810
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License Number State | AL
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