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General NPI Number Information
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NPI Number | 1710525563
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Entity Type | Individual
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Provider Name | KATHRYN TOHILL CARSON
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Gender | Female
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 1829 HIGHWAY 45 N
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City | COLUMBUS
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State | MS
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Zip | 39705-2152
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Country | US
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Telephone | 662-327-9562
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Fax |
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Provider Business Mailing Address
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Address Line | 417 4TH ST S
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City | COLUMBUS
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State | MS
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Zip | 39701-6701
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Country | US
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Telephone | 859-619-7175
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | E-010630
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License Number State | MS
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