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NPI 1427599943

NPI 1427599943 : KARA BOYSEL PHARMD.,BCOP : WINSTON SALEM, NC

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General NPI Number Information
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    NPI Number           |    1427599943
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    Entity Type          |    Individual 
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    Provider Name        |    KARA BOYSEL PHARMD.,BCOP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/16/2017
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    Last Update Date     |    03/16/2017
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Provider Practice Location Address
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    Address Line         |    MEDICAL CENTER BLVD 
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    City                 |    WINSTON SALEM
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    State                |    NC
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    Zip                  |    27157-0001
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    Country              |    US
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    Telephone            |    336-713-9865
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6008 WOODS EDGE LN 
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    City                 |    KERNERSVILLE
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    State                |    NC
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    Zip                  |    27284-8322
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    Country              |    US
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    Telephone            |    336-713-9865
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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       |    20440
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    License Number State |    NC
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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       |    12769
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    License Number State |    SC
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