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General NPI Number Information
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NPI Number | 1831516087
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Entity Type | Individual
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Provider Name | CASEY ANN KENDALL PHARM D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 109 CHEVY LANE SUITE B
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City | BUNKIE
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State | LA
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Zip | 71322
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Country | US
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Telephone | 318-346-1112
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Fax | 318-346-1115
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Provider Business Mailing Address
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Address Line | 109 CHEVY LANE SUITE B
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City | BUNKIE
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State | LA
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Zip | 71322
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Country | US
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Telephone | 318-346-1112
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Fax | 318-346-1115
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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 | 17305
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License Number State | LA
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