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General NPI Number Information
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NPI Number | 1174946875
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Entity Type | Organization
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Legal Business Name | ORION RX KENTUCKY LLC
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 13100 MAGISTERIAL DR STE 102
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City | LOUISVILLE
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State | KY
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Zip | 40223-5185
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Country | US
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Telephone | 502-213-8400
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Fax | 502-213-8444
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Provider Business Mailing Address
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Address Line | 13100 MAGISTERIAL DR SUITE 102
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City | LOUISVILLE
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State | KY
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Zip | 40223-5184
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Country | US
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Telephone | 502-213-8400
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Fax | 502-213-8444
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY BILLING
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Name | AMY KONAK
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Credential |
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Telephone | 615-826-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | P07607
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License Number State | KY
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