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General NPI Number Information
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NPI Number | 1619863438
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Entity Type | Individual
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Provider Name | AMANDA BAUSCH THURMAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2700 STANLEY GAULT PKWY STE 103
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City | LOUISVILLE
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State | KY
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Zip | 40223-5133
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Country | US
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Telephone | 502-559-1377
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 OAKMONT CIR
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City | CRESTWOOD
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State | KY
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Zip | 40014-6510
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Country | US
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Telephone | 859-468-7853
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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 | 018548
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License Number State | KY
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