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General NPI Number Information
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NPI Number | 1619760691
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Entity Type | Individual
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Provider Name | KRISTEN ANN BOYLE
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Gender | Female
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 32 N MAIN ST
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City | PITTSTON
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State | PA
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Zip | 18640-1916
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Country | US
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Telephone | 570-655-1489
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Fax |
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Provider Business Mailing Address
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Address Line | 124 LATHROP ST
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City | KINGSTON
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State | PA
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Zip | 18704-4811
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Country | US
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Telephone | 570-814-9543
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RP042906L
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License Number State | PA
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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 | RP042960L
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License Number State | PA
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