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General NPI Number Information
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NPI Number | 1396260154
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Entity Type | Individual
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Provider Name | TABITHIA FISCHBECK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2017
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 131 S MORGAN ST
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City | MORGANFIELD
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State | KY
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Zip | 42437-1552
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Country | US
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Telephone | 270-997-9779
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Fax | 270-997-9780
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Provider Business Mailing Address
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Address Line | PO BOX 62
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City | MORGANFIELD
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State | KY
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Zip | 42437-0062
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Country | US
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Telephone | 270-869-7374
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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 | 26027270A
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License Number State | IN
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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 | 019425
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License Number State | KY
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