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General NPI Number Information
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NPI Number | 1437541729
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Entity Type | Individual
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Provider Name | KRISTIN JOY WOLTER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 2320 W PEORIA AVE STE D132
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City | PHOENIX
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State | AZ
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Zip | 85029-4768
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Country | US
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Telephone | 877-678-5400
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Fax | 602-678-5401
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Provider Business Mailing Address
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Address Line | 2320 W PEORIA AVE STE D132
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City | PHOENIX
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State | AZ
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Zip | 85029-4768
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Country | US
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Telephone | 877-678-5400
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Fax | 602-678-5401
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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 | S018586
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License Number State | AZ
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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 | 18314
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD12603
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P7016
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 170030
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.020517
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License Number State | LA
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22348
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P13378
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License Number State | MS
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Taxonomy #9
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14523
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License Number State | NE
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Taxonomy #10
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI0369000
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License Number State | NJ
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Taxonomy #11
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0014092
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License Number State | OR
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Taxonomy #12
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 38099
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License Number State | TN
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Taxonomy #13
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202-212893
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License Number State | VA
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Taxonomy #14
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0008504
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License Number State | WV
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