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General NPI Number Information
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NPI Number | 1922586023
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Entity Type | Individual
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Provider Name | KIMBERLY JANE COMITO RPH
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Gender | Female
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 1002 15TH ST SW STE 101
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City | AUBURN
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State | WA
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Zip | 98001-6502
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Country | US
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Telephone | 253-876-8608
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Fax | 253-333-2389
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Provider Business Mailing Address
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Address Line | 1002 15TH ST SW STE 101
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City | AUBURN
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State | WA
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Zip | 98001-6502
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Country | US
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Telephone | 253-876-8608
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Fax | 253-333-2389
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PH00014278
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License Number State | WA
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