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General NPI Number Information
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NPI Number | 1528648375
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Entity Type | Organization
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Legal Business Name | FAMILY CLINIC MANCHASTER LLC
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 415 RICHMOND RD UNIT B
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City | MANCHESTER
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State | KY
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Zip | 40962-1212
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Country | US
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Telephone | 606-598-8831
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Fax |
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Provider Business Mailing Address
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Address Line | 415 RICHMOND RD UNIT B
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City | MANCHESTER
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State | KY
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Zip | 40962-1212
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Country | US
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Telephone | 606-598-8831
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER SAAD
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Credential |
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Telephone | 318-259-7334
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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 |
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License Number State |
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