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General NPI Number Information
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NPI Number | 1437375516
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Entity Type | Individual
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Provider Name | CRAIG ALLAN KIMBLE PHARMD, MS, BCACP
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | MARSHALL UNIVERSITY SCHOOL OF PHARMACY ONE JOHN MARSHALL DRIVE, CEB 145
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City | HUNTINGTON
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State | WV
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Zip | 25755-0001
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Country | US
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Telephone | 304-696-6014
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Fax | 304-696-7309
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Provider Business Mailing Address
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Address Line | 152 TOWNSHIP ROAD 1353
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City | CROWN CITY
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State | OH
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Zip | 45623-8703
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Country | US
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Telephone | 740-451-0636
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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 | 22891
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 011681
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 6275
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License Number State | WV
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