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General NPI Number Information
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NPI Number | 1427331081
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Entity Type | Individual
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Provider Name | ROGER COMBS RPH
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Gender | Male
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 600 S HIGHWAY 27
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City | SOMERSET
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State | KY
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Zip | 42501-3506
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Country | US
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Telephone | 606-677-0596
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Fax |
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Provider Business Mailing Address
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Address Line | 5 HIGHLAND ESTS
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City | HAZARD
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State | KY
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Zip | 41701-7480
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Country | US
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Telephone |
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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 | 014223
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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 | 26020288A
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License Number State | IN
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