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General NPI Number Information
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NPI Number | 1851994040
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Entity Type | Individual
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Provider Name | KIMBERLY NOELLE POOL-MASON RPH
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Gender | Female
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 6030 N HAMILTON RD
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City | WESTERVILLE
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State | OH
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Zip | 43081-1685
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Country | US
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Telephone | 614-245-6033
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Fax |
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Provider Business Mailing Address
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Address Line | 7801 ASTRA CIR
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-9755
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Country | US
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Telephone | 614-562-2283
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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 | 03-3-20068
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License Number State | OH
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