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General NPI Number Information
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NPI Number | 1093302333
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Entity Type | Individual
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Provider Name | HALEY LAKIN BLANKENSHIP PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 805 BARDSTOWN RD STE 1
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City | SPRINGFIELD
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State | KY
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Zip | 40069-1514
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Country | US
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Telephone | 859-336-9004
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 CECIL LN
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City | BARDSTOWN
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State | KY
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Zip | 40004-9565
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Country | US
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Telephone | 502-460-0777
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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 | 26029095A
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License Number State | IN
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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 | 021813
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License Number State | KY
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