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General NPI Number Information
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NPI Number | 1023943834
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Entity Type | Individual
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Provider Name | SIDNEY BUMGARDNER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 11300 CORNELL PARK DR
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City | BLUE ASH
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State | OH
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Zip | 45242-1814
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Country | US
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Telephone | 602-291-8243
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Fax |
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Provider Business Mailing Address
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Address Line | 2178 MOUNT CARMEL RD
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City | FLEMINGSBURG
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State | KY
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Zip | 41041-8399
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Country | US
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Telephone | 606-291-8243
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 03446693
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License Number State | OH
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