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NPI 1720343700

NPI 1720343700 : KIMBERLY ANN KOSLOSKI TARPENNING PHARMD : OWATONNA, MN

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General NPI Number Information
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    NPI Number           |    1720343700
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    Entity Type          |    Individual 
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    Provider Name        |    KIMBERLY ANN KOSLOSKI TARPENNING PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/06/2012
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    Last Update Date     |    02/16/2021
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Provider Practice Location Address
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    Address Line         |    2200 NW 26TH ST 
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    City                 |    OWATONNA
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    State                |    MN
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    Zip                  |    55060-5503
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    Country              |    US
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    Telephone            |    507-781-8176
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    220 MILLPOND 
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    City                 |    STANSBURY PARK
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    State                |    UT
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    Zip                  |    84074-9745
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    Country              |    US
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    Telephone            |    435-843-3050
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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       |    8638391-8911
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    License Number State |    UT
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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       |    120834
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    License Number State |    MN
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Taxonomy #3
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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       |    8638391-1701
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    License Number State |    UT
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