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General NPI Number Information
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NPI Number | 1669814646
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Entity Type | Individual
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Provider Name | CAROL KLEINGARTNER RPH
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Gender | Female
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 1606 N 7TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47804-2706
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Country | US
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Telephone | 812-238-7556
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Fax | 812-478-4165
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Provider Business Mailing Address
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Address Line | 1606 N 7TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47804-2706
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Country | US
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Telephone | 812-238-7556
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Fax | 812-465-4178
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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 | 26016525
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License Number State | IN
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