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General NPI Number Information
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NPI Number | 1669814307
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Entity Type | Individual
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Provider Name | JOHN P KENNEDY RPH, PHD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 709 MALL BLVD
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City | SAVANNAH
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State | GA
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Zip | 31406-4805
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Country | US
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Telephone | 912-201-8138
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Fax |
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Provider Business Mailing Address
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Address Line | 709 MALL BLVD
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City | SAVANNAH
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State | GA
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Zip | 31406-4805
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Country | US
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Telephone | 912-201-8138
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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 | 7515
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License Number State | SC
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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 | RPH025690
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 7515
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH025690
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License Number State | GA
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