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General NPI Number Information
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NPI Number | 1477042364
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Entity Type | Individual
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Provider Name | KRISTIN LEIGH HARM
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Gender | Female
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 200 FRONTIER ST
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City | LEXINGTON
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State | NE
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Zip | 68850-5677
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Country | US
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Telephone | 308-324-7437
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Fax | 308-324-2164
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Provider Business Mailing Address
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Address Line | 23 BIRDIE LN
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City | GOTHENBURG
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State | NE
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Zip | 69138-9304
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Country | US
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Telephone | 308-529-1264
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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 | 10753
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License Number State | NE
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