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General NPI Number Information
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NPI Number | 1699043919
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Entity Type | Individual
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Provider Name | KATHLEEN K JOHNSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 428 BALLTOWN RD
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City | SCHENECTADY
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State | NY
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Zip | 12304-2245
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Country | US
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Telephone | 518-346-8670
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10008
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City | ALBUQUERQUE
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State | NM
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Zip | 87184-0008
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Country | US
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Telephone | 505-553-5822
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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 | 057733
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License Number State | NY
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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 | RP00007915
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License Number State | NM
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