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General NPI Number Information
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NPI Number | 1588034706
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Entity Type | Individual
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Provider Name | MICHAEL KINSTEDT PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 05/28/2021
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Provider Practice Location Address
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Address Line | 1919 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-7710
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Country | US
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Telephone | 602-933-2048
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Fax | 602-933-2057
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Provider Business Mailing Address
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Address Line | 1920 E INDIAN SCHOOL RD APT 3008
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City | PHOENIX
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State | AZ
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Zip | 85016-6059
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Country | US
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Telephone | 937-432-8207
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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 | I012038
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S021705
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License Number State | AZ
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