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General NPI Number Information
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NPI Number | 1497356687
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Entity Type | Individual
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Provider Name | SARA BROOKE KEMP PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 400 N HIGHWAY 67
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-8000
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Country | US
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Telephone | 972-775-4708
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Fax | 972-775-6712
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Provider Business Mailing Address
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Address Line | 5041 MONROE DR
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-7086
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Country | US
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Telephone | 806-470-0601
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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 | 44479
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License Number State | TX
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