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General NPI Number Information
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NPI Number | 1922564608
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Entity Type | Individual
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Provider Name | KAYLA NICOLE PERRY PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 02/18/2019
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 1000 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43205-1381
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Country | US
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Telephone | 614-252-4348
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Fax |
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Provider Business Mailing Address
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Address Line | 4317 TULLER RD STE 303
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City | DUBLIN
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State | OH
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Zip | 43017-5250
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Country | US
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Telephone | 614-578-9240
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 03337779
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License Number State | OH
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