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General NPI Number Information
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NPI Number | 1568091866
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Entity Type | Individual
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Provider Name | JENNA BOGNASKI KAPLAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 101 MANNING DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4220
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Country | US
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Telephone | 984-974-3549
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Fax |
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Provider Business Mailing Address
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Address Line | 525 CALLANDALE LN
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City | DURHAM
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State | NC
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Zip | 27703-9811
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Country | US
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Telephone | 607-206-0698
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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 | 23776
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License Number State | NC
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