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General NPI Number Information
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NPI Number | 1588962195
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Entity Type | Individual
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Provider Name | KURT KEGLOVITS
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Gender | Male
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Dates
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Enumeration Date | 03/05/2011
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Last Update Date | 03/05/2011
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Provider Practice Location Address
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Address Line | 1120 S CENTRAL AVE
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City | LAUREL
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State | DE
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Zip | 19956-1418
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Country | US
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Telephone | 302-875-7844
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Fax | 302-875-2494
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Provider Business Mailing Address
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Address Line | 26966 CREST DR
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City | SEAFORD
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State | DE
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Zip | 19973-6986
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Country | US
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Telephone | 302-628-0997
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Fax | 302-875-2494
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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 | A1-0003335
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License Number State | DE
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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 | RP044270L
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License Number State | PA
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