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General NPI Number Information
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NPI Number | 1811579675
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Entity Type | Individual
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Provider Name | SANDRA JOAN KAMENSKY REGISTERED PHARMACIS
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Gender | Female
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 34310 AURORA RD
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City | SOLON
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State | OH
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Zip | 44139-3890
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Country | US
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Telephone | 440-519-1028
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Fax | 440-519-1382
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Provider Business Mailing Address
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Address Line | 25019 DUFFIELD RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-3262
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Country | US
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Telephone | 440-715-5344
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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 | 03319900
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License Number State | OH
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