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General NPI Number Information
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NPI Number | 1699259358
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Entity Type | Individual
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Provider Name | KAREN L BOLANDER RPH
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Gender | Female
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 4800 COUNTY ROAD K
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City | DELTA
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State | OH
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Zip | 43515-9768
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Country | US
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Telephone | 419-215-5485
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 COUNTY ROAD K
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City | DELTA
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State | OH
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Zip | 43515-9768
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Country | US
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Telephone | 419-215-5485
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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 | 03-1-22446
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License Number State | OH
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