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General NPI Number Information
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NPI Number | 1306198601
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Entity Type | Organization
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Legal Business Name | ASCLEPION INC.
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 750 MAIN ST
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City | SACRAMENTO
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State | KY
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Zip | 42372-9405
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Country | US
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Telephone | 270-736-2999
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Fax | 270-736-2299
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Provider Business Mailing Address
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Address Line | 411 COLLEGE ST
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City | GREENVILLE
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State | KY
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Zip | 42345-1713
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Country | US
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Telephone | 270-977-7846
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PIC
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Name | DR. JON GREGG HENRY
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Credential | RPH, PHARMD
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Telephone | 270-977-7846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P07522
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License Number State | KY
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