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General NPI Number Information
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NPI Number | 1730789678
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Entity Type | Individual
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Provider Name | KIM DENELL ESTES RPH
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 1650 STATE HIGHWAY 351
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City | ABILENE
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State | TX
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Zip | 79601-4766
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Country | US
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Telephone | 325-677-2191
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Fax | 325-677-3349
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | CLYDE
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State | TX
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Zip | 79510-0550
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Country | US
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Telephone | 325-201-0389
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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 | 23973
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License Number State | TX
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