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General NPI Number Information
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NPI Number | 1295326338
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Entity Type | Individual
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Provider Name | ALEXANDRIA MCKINLEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 1495 E 10TH ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130
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Country | US
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Telephone | 812-284-6500
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Fax | 812-284-6254
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Provider Business Mailing Address
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Address Line | 8025 LEGACY SPRINGS BLVD
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City | LANESVILLE
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State | IN
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Zip | 47136
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Country | US
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Telephone | 502-262-0371
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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 | 020225
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License Number State | KY
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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 | 26027844A
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License Number State | IN
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