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General NPI Number Information
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NPI Number | 1740496256
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Entity Type | Individual
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Provider Name | DAVID JOHN KINSLEY PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 1402 COUNTY PARK RD
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City | SCOTTSBORO
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State | AL
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Zip | 35769-3967
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Country | US
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Telephone | 256-259-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 1627 BURK DR NW
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City | FORT PAYNE
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State | AL
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Zip | 35967-8342
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Country | US
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Telephone | 256-845-4466
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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 | 14792
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License Number State | AL
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