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General NPI Number Information
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NPI Number | 1518519172
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Entity Type | Individual
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Provider Name | KELSIE KAROLCIK PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 07/14/2019
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 25 COURTENAY DR # M104
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City | CHARLESTON
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State | SC
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Zip | 29425-3701
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Country | US
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Telephone | 843-876-5585
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Fax | 843-876-4583
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Provider Business Mailing Address
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Address Line | 838 W MADISON AVE
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City | CHARLESTON
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State | SC
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Zip | 29412-3529
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Country | US
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Telephone | 304-216-4521
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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 | 41939
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License Number State | SC
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