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General NPI Number Information
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NPI Number | 1225352933
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Entity Type | Individual
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Provider Name | JAY H BRAINARD R.PH.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 400 S HIGHWAY 27
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City | SOMERSET
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State | KY
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Zip | 42501-3444
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Country | US
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Telephone | 606-678-2784
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Fax | 859-878-2025
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Provider Business Mailing Address
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Address Line | 400 S HIGHWAY 27
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City | SOMERSET
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State | KY
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Zip | 42501-3444
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Country | US
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Telephone | 606-678-2784
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Fax | 859-878-2025
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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 | 010231
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License Number State | KY
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