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General NPI Number Information
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NPI Number | 1851690366
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Entity Type | Individual
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Provider Name | KIMBERLY BONDA SAYASENG RPH
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Gender | Female
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 800 RALEIGH RD
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City | ROCKY MOUNT
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State | NC
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Zip | 27803-2622
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Country | US
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Telephone | 252-446-0391
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Fax | 252-985-2350
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Provider Business Mailing Address
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Address Line | 3612 KEMBLE RIDGE DR
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City | WAKE FOREST
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State | NC
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Zip | 27587-4865
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Country | US
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Telephone | 919-556-8974
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Fax | 252-985-2350
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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 | 12539
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License Number State | NC
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