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General NPI Number Information
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NPI Number | 1730457680
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Entity Type | Individual
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Provider Name | KATHLEEN MARY DANTES RPH, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 300 NORTH AVE IN-PATIENT PHARMACY
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3307
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Country | US
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Telephone | 269-245-5852
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Fax | 269-245-5924
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Provider Business Mailing Address
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Address Line | 110 SEELEY ST
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City | COLDWATER
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State | MI
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Zip | 49036-1558
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Country | US
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Telephone | 517-320-0707
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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 | 5302028868
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License Number State | MI
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