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General NPI Number Information
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NPI Number | 1538668975
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Entity Type | Individual
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Provider Name | KRISTYN EMILY DOMBKOWSKI PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 02/11/2018
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Last Update Date | 02/11/2018
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Provider Practice Location Address
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Address Line | 543 W MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06053-3915
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Country | US
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Telephone | 860-225-6487
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Fax | 860-229-4488
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Provider Business Mailing Address
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Address Line | 242 BELRIDGE RD
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City | NEW BRITAIN
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State | CT
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Zip | 06053-1012
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Country | US
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Telephone | 860-518-7870
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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 | PCT.0013763
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License Number State | CT
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