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NPI 1710629407

NPI 1710629407 : KELLY LYNN SZATKOWSKI PHARM D : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1710629407
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    Entity Type          |    Individual 
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    Provider Name        |    KELLY LYNN SZATKOWSKI PHARM D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/12/2022
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    Last Update Date     |    04/12/2022
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Provider Practice Location Address
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    Address Line         |    3177 LATTA RD 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14612-3094
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    Country              |    US
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    Telephone            |    585-225-6111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15 RICHFIELD DR 
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    City                 |    HILTON
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    State                |    NY
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    Zip                  |    14468-9022
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    Country              |    US
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    Telephone            |    585-227-4574
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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       |    049235
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    License Number State |    NY
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