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General NPI Number Information
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NPI Number | 1922383751
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Entity Type | Individual
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Provider Name | CINDY SUTTON KENNEDY RPH
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Gender | Female
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Dates
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Enumeration Date | 10/12/2011
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 200 HAWTHORNE LN
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City | CHARLOTTE
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State | NC
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Zip | 28204-2515
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Country | US
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Telephone | 704-316-4610
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Fax |
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Provider Business Mailing Address
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Address Line | 725 HIGHLAND OAKS DR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-7109
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Country | US
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Telephone | 336-718-6199
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Fax | 336-718-6109
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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 | 6893
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28084
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1835C0206X
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Taxonomy Name | Cardiology Pharmacist
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License Number | 9945
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 9945
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License Number State | NC
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