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General NPI Number Information
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NPI Number | 1750275665
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Entity Type | Individual
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Provider Name | DOUGLAS KENNEDY PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 3360 BURNS RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4323
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Country | US
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Telephone | 561-694-7184
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Fax |
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Provider Business Mailing Address
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Address Line | 3360 BURNS RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4323
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Country | US
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Telephone | 561-694-7184
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Fax | 561-625-5050
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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 | PS34898
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | PS34898
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License Number State | FL
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