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General NPI Number Information
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NPI Number | 1073113585
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Entity Type | Individual
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Provider Name | BETH ANN PRESTON RPH
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Gender | Female
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 790 GREENSBURG COMMONS CTR
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City | GREENSBURG
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State | IN
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Zip | 47240-9469
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Country | US
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Telephone | 812-663-3338
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Fax | 812-663-3396
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Provider Business Mailing Address
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Address Line | 933 SIX PINE RANCH RD
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City | BATESVILLE
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State | IN
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Zip | 47006-9588
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Country | US
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Telephone | 812-528-4123
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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 | 020486
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26018328A
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License Number State | IN
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