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General NPI Number Information
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NPI Number | 1841712171
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Entity Type | Individual
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Provider Name | KRISTEN ELISE ROSS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 5366 386TH ST
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City | NORTH BRANCH
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State | MN
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Zip | 55056-1737
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Country | US
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Telephone | 651-674-8353
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Fax |
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Provider Business Mailing Address
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Address Line | 918 3RD ST N UNIT 311
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-1049
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 123354
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License Number State | MN
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