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NPI 1760910889

NPI 1760910889 : RACHEL MANN KIEFER PHARMD : MILLBROOK, AL

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General NPI Number Information
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    NPI Number           |    1760910889
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL MANN KIEFER PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/02/2017
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    Last Update Date     |    06/02/2017
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Provider Practice Location Address
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    Address Line         |    145 KELLEY BLVD 
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    City                 |    MILLBROOK
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    State                |    AL
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    Zip                  |    36054-2200
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    Country              |    US
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    Telephone            |    334-285-0322
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    106 PARADISE ROSE CT 
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    City                 |    DEATSVILLE
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    State                |    AL
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    Zip                  |    36022-2670
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    Country              |    US
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    Telephone            |    334-467-9471
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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       |    15287
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    License Number State |    AL
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