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General NPI Number Information
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NPI Number | 1992047625
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Entity Type | Individual
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Provider Name | KIMBERLY NICOLE DRUMMER- HOSEY CPHT
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Gender | Female
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 419 N 16TH AVE
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City | LAUREL
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State | MS
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Zip | 39440-3850
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Country | US
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Telephone | 601-425-5808
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Fax | 601-425-9499
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Provider Business Mailing Address
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Address Line | 419 N 16TH AVE
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City | LAUREL
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State | MS
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Zip | 39440-3850
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Country | US
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Telephone | 601-425-5808
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Fax | 601-425-9499
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 250101030355327
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License Number State | MS
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