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General NPI Number Information
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NPI Number | 1336752815
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Entity Type | Individual
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Provider Name | ANSLEY AMANDA FELTMAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 898 S MAIN ST
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City | CENTERVILLE
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State | OH
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Zip | 45458-3439
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Country | US
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Telephone | 937-433-4909
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Fax |
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Provider Business Mailing Address
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Address Line | 4345 GLEN ESTE WITHAMSVILLE RD APT 408
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City | CINCINNATI
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State | OH
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Zip | 45245-1891
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Country | US
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Telephone | 502-548-2972
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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 | 019988
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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 | 03440033
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License Number State | OH
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