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General NPI Number Information
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NPI Number | 1205425527
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Entity Type | Individual
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Provider Name | SARENA MEGAN AMBURGEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 914 E BROADWAY STE 100-P
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City | LOUISVILLE
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State | KY
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Zip | 40204-1037
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Country | US
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Telephone | 502-768-3251
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Fax | 502-498-8717
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Provider Business Mailing Address
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Address Line | 4024 MULBERRY ROW WAY
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City | LOUISVILLE
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State | KY
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Zip | 40299-7400
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Country | US
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Telephone | 859-620-4353
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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 | 03337210
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License Number State | OH
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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 | PS58176
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License Number State | FL
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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 | 019862
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License Number State | KY
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