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General NPI Number Information
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NPI Number | 1174716229
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Entity Type | Organization
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Legal Business Name | FEDERAL MEDICAL CENTER
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 3301 LEESTOWN RD ATTN: PHARMACY
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City | LEXINGTON
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State | KY
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Zip | 40511-8702
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Country | US
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Telephone | 859-255-6812
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Fax | 859-253-8834
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Provider Business Mailing Address
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Address Line | 3301 LEESTOWN RD ATTN: PHARMACY
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City | LEXINGTON
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State | KY
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Zip | 40511-8702
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Country | US
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Telephone | 859-255-6812
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Fax | 859-253-8834
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Authorized Official
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Title or Position | CHIEF PHARMACIST
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Name | MS. THERESA BURT
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Credential | PHARMACIST
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Telephone | 859-255-6812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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