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General NPI Number Information
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NPI Number | 1124628748
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Entity Type | Individual
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Provider Name | JOSHUA RYAN ELSWICK RPH
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Gender | Male
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Dates
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Enumeration Date | 11/01/2020
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Last Update Date | 11/01/2020
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Provider Practice Location Address
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Address Line | 12981 SHELBYVILLE RD
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City | LOUISVILLE
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State | KY
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Zip | 40243-1538
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Country | US
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Telephone | 304-610-1817
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Fax |
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Provider Business Mailing Address
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Address Line | 4913 CARRIAGE PASS PL
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City | LOUISVILLE
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State | KY
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Zip | 40299-6638
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Country | US
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Telephone | 304-610-1817
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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 | RP0006344
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License Number State | WV
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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 | 26023748A
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License Number State | IN
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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 | 015253
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License Number State | KY
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