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General NPI Number Information
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NPI Number | 1093503146
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Entity Type | Individual
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Provider Name | SAVANNAH FUGATE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 2421 WINCHESTER AVE
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City | ASHLAND
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State | KY
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Zip | 41101-7835
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Country | US
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Telephone | 606-408-6000
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Fax | 606-408-6006
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Provider Business Mailing Address
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Address Line | 4207 STATE ROUTE 3
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City | CATLETTSBURG
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State | KY
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Zip | 41129-9345
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Country | US
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Telephone | 859-585-8796
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 020016
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License Number State | KY
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