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General NPI Number Information
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NPI Number | 1720632532
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Entity Type | Individual
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Provider Name | KENDRA LYNN CATALANO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 3030 MARKET AVE N
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City | CANTON
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State | OH
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Zip | 44714-1428
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Country | US
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Telephone | 330-456-0515
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Fax |
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Provider Business Mailing Address
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Address Line | 3147 BRETTON ST NW APT E
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City | NORTH CANTON
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State | OH
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Zip | 44720-8377
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Country | US
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Telephone | 716-785-2219
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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 | 03438976
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License Number State | OH
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