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General NPI Number Information
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NPI Number | 1285005181
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Entity Type | Individual
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Provider Name | RICHARD ALLEN NALLY RPH
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Gender | Male
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Dates
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Enumeration Date | 10/18/2015
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Last Update Date | 10/18/2015
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Provider Practice Location Address
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Address Line | 901 US HIGHWAY 60 E
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City | MORGANFIELD
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State | KY
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Zip | 42437-6603
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Country | US
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Telephone | 270-389-2423
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Fax |
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Provider Business Mailing Address
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Address Line | 430 ED RICKETTS RD
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City | MORGANFIELD
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State | KY
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Zip | 42437-6260
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Country | US
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Telephone | 270-952-2300
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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 | 008235
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License Number State | KY
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