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General NPI Number Information
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NPI Number | 1538769476
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Entity Type | Individual
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Provider Name | BARBARA LYNN GENSIC REED RPH
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 402 W PLAZA DR
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City | COLUMBIA CITY
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State | IN
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Zip | 46725-1051
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Country | US
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Telephone | 260-244-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 5284 S 775 E
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City | PIERCETON
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State | IN
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Zip | 46562-9775
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Country | US
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Telephone | 260-823-0020
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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 | 26018586A
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License Number State | IN
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