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General NPI Number Information
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NPI Number | 1508585662
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Entity Type | Individual
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Provider Name | KATHERINE JUBA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 601 ELMWOOD AVE
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City | ROCHESTER
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State | NY
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Zip | 14642-0002
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Country | US
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Telephone | 585-857-2729
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Fax |
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Provider Business Mailing Address
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Address Line | 7 OAK LEAF LN
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City | PITTSFORD
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State | NY
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Zip | 14534-3549
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Country | US
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Telephone | 585-857-2729
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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 | I050432-01
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License Number State | NY
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