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General NPI Number Information
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NPI Number | 1578239562
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Entity Type | Individual
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Provider Name | ARIEL JAYDE HOPPENRATH PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 150 RALEIGH DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-7139
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Country | US
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Telephone | 270-234-8111
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Fax | 270-234-8195
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Provider Business Mailing Address
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Address Line | 95 PARKERS LOOP APT 2
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City | HODGENVILLE
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State | KY
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Zip | 42748-1724
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Country | US
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Telephone | 270-317-9246
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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 | 017594
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License Number State | KY
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