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General NPI Number Information
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NPI Number | 1336223551
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Entity Type | Organization
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Legal Business Name | PINEVILLE COMMUNITY HOSPITAL ASSN INC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 09/21/2017
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Provider Practice Location Address
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Address Line | 850 RIVERVIEW RD
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City | PINEVILLE
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State | KY
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Zip | 40977-1430
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Country | US
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Telephone | 606-337-4240
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Fax | 606-337-4310
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Provider Business Mailing Address
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Address Line | 850 RIVERVIEW RD
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City | PINEVILLE
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State | KY
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Zip | 40977-1430
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Country | US
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Telephone | 606-337-3051
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Fax | 606-337-4310
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | CATHY ADAMS
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Credential | PHARMD
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Telephone | 606-337-4240
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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 | P05084
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License Number State | KY
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