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General NPI Number Information
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NPI Number | 1124650767
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Entity Type | Individual
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Provider Name | AMBER DAWN COURTNEY CPHT
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Gender | Female
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 1210 KY HIGHWAY 36 E STE G6
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City | CYNTHIANA
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State | KY
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Zip | 41031-7493
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Country | US
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Telephone | 859-234-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 138 N WALNUT ST
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City | CYNTHIANA
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State | KY
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Zip | 41031-1224
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Country | US
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Telephone | 859-298-4760
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | PT00025465
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License Number State | KY
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