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General NPI Number Information
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NPI Number | 1609470772
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Entity Type | Individual
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Provider Name | BURTON FOSTER PHARM D
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Gender | Male
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 11/29/2020
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Provider Practice Location Address
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Address Line | 144 N HIGHWAY 27
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City | SOMERSET
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State | KY
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Zip | 42503-1732
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Country | US
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Telephone | 606-679-7395
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Fax |
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Provider Business Mailing Address
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Address Line | 35 STAGE RD
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City | LONDON
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State | KY
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Zip | 40744-8872
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Country | US
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Telephone | 606-224-9657
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 018014
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License Number State | KY
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