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General NPI Number Information
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NPI Number | 1720495807
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Entity Type | Individual
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Provider Name | KAYLA DOTSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 810 SIXTH AVE
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City | SANDPOINT
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State | ID
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Zip | 83864-5396
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Country | US
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Telephone | 208-265-1400
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Fax | 208-263-2497
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Provider Business Mailing Address
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Address Line | PO BOX 371
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City | SAGLE
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State | ID
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Zip | 83860-0371
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Country | US
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Telephone | 208-255-7080
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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 | P5625
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License Number State | ID
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