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General NPI Number Information
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NPI Number | 1336120138
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Entity Type | Organization
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Legal Business Name | DANPRO HOLDINGS, LLC
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 107 KY ROUTE 306
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City | BYPRO
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State | KY
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Zip | 41612-9711
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Country | US
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Telephone | 606-452-4134
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Fax | 606-452-4211
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Provider Business Mailing Address
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Address Line | PO BOX 735
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City | HAZARD
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State | KY
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Zip | 41702-0735
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Country | US
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Telephone | 606-436-2407
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Fax | 606-436-0727
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER L DANIELS
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Credential |
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Telephone | 606-436-2407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | P01550
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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