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General NPI Number Information
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NPI Number | 1558915959
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Entity Type | Individual
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Provider Name | KELLY PRZYBYSZ CPHT
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Gender | Female
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 3961 DALLING DR
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City | NORTHWOOD
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State | OH
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Zip | 43619-2030
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Country | US
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Telephone | 419-490-0995
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Fax |
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Provider Business Mailing Address
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Address Line | 3961 DALLING DR
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City | NORTHWOOD
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State | OH
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Zip | 43619-2030
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Country | US
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Telephone | 419-490-0995
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 28RW03773700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | PT01337
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 296446
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 09303624
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | PT22338
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License Number State | NV
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Taxonomy #6
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 5303023659
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 0230033821
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License Number State | VA
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