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General NPI Number Information
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NPI Number | 1508382698
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Entity Type | Individual
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Provider Name | KATHERINE L KUEHL RPH B.S.PHARMCIST
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Gender | Female
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | WALGREENS 1870 E HISTORIC HIGHWAY 66
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City | GALLIUP
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State | NM
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Zip | 87301
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Country | US
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Telephone | 505-722-9499
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Fax |
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Provider Business Mailing Address
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Address Line | 350 BASILEO DR APT 705
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City | GALLUP
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State | NM
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Zip | 87301-4680
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Country | US
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Telephone | 702-461-1815
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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 | RP00008734
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License Number State | NM
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