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General NPI Number Information
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NPI Number | 1629127550
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Entity Type | Organization
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Legal Business Name | SHEARER DRUG
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 TWIN LAKES MEDICAL CTR
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City | ALBANY
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State | KY
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Zip | 42602-1076
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Country | US
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Telephone | 606-387-6616
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Fax |
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Provider Business Mailing Address
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Address Line | 100 TWIN LAKES MEDICAL CTR
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City | ALBANY
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State | KY
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Zip | 42602-1076
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Country | US
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Telephone | 606-387-6616
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENT SHEARER
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Credential |
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Telephone | 606-387-6616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | P01501
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License Number State | KY
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