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General NPI Number Information
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NPI Number | 1457089955
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Entity Type | Individual
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Provider Name | JULIA KISS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 500 N STATE HIGHWAY 89
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City | PRESCOTT
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State | AZ
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Zip | 86323
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Country | US
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Telephone | 928-445-4860
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Fax |
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Provider Business Mailing Address
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Address Line | 250 TIMBERLANE DR
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City | BANGOR
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State | PA
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Zip | 18013-9472
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Country | US
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Telephone | 484-544-9226
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RP457007
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License Number State | PA
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