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General NPI Number Information
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NPI Number | 1871828111
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Entity Type | Individual
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Provider Name | KENNETH A THALL PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 7777 S FEDERAL HWY APT G215
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City | POMPANO BEACH
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State | FL
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Zip | 33062
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Country | US
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Telephone | 954-548-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 777 S FEDERAL HWY APT G 215
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City | POMPANO BEACH
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State | FL
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Zip | 33062-5968
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS18583
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License Number State | FL
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