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General NPI Number Information
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NPI Number | 1124433008
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Entity Type | Individual
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Provider Name | CORINA BYFORD PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 679 SOUTH MAIN
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City | MADISONVILLE
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State | KY
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Zip | 42431
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Country | US
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Telephone | 270-825-1541
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Fax | 270-825-1685
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Provider Business Mailing Address
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Address Line | 195 BLUEBELL CIR
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City | NEW CONCORD
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State | KY
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Zip | 42076-9116
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Country | US
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Telephone | 270-436-5345
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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 | 013213
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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 | S019393
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 289842
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 020038
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 36422
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202211358
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License Number State | VA
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