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General NPI Number Information
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NPI Number | 1477273654
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Entity Type | Individual
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Provider Name | JOSHUA DILLON PARTIN RPH
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Gender | Male
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 1019 CUMBERLAND FALLS HWY
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City | CORBIN
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State | KY
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Zip | 40701-2735
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Country | US
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Telephone | 606-526-0755
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Fax |
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Provider Business Mailing Address
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Address Line | 78 RED GATE DRIVE
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City | WOODBINE
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State | KY
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Zip | 40771
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Country | US
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Telephone | 606-304-3378
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 022117
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License Number State | KY
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