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General NPI Number Information
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NPI Number | 1073152575
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Entity Type | Individual
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Provider Name | ASHLAND TODD PRICE
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Gender | Male
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 808 N 12TH ST
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City | MURRAY
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State | KY
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Zip | 42071-1666
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Country | US
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Telephone | 270-759-1288
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Fax | 270-759-1310
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Provider Business Mailing Address
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Address Line | 263 APOSTLE PAUL LOOP
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City | CADIZ
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State | KY
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Zip | 42211-8836
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Country | US
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Telephone | 270-350-2441
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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 | 11210
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License Number State | KY
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