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General NPI Number Information
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NPI Number | 1992847115
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Entity Type | Individual
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Provider Name | JOSHUA DAVIS KINSEY DOCTOR OF PHARMACY
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 19 E JARRARD ST
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City | CLEVELAND
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State | GA
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Zip | 30528-1212
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Country | US
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Telephone | 706-865-1212
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Fax | 706-865-1221
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Provider Business Mailing Address
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Address Line | PO BOX 832
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City | CLEVELAND
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State | GA
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Zip | 30528-0015
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Country | US
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Telephone | 706-878-0571
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Fax | 706-348-1823
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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 | RPH022625
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License Number State | GA
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