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General NPI Number Information
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NPI Number | 1932244761
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Entity Type | Individual
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Provider Name | KYLE T KRONEMEYER RPH
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 290 W CARLETON RD
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City | HILLSDALE
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State | MI
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Zip | 49242-5034
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Country | US
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Telephone | 517-439-9409
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Fax | 517-439-0970
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Provider Business Mailing Address
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Address Line | PO BOX 1507
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City | JACKSON
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State | MI
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Zip | 49204-1507
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Country | US
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Telephone | 517-788-6969
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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 | 5302029608
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License Number State | MI
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