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General NPI Number Information
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NPI Number | 1669996500
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Entity Type | Individual
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Provider Name | SARAH MAHALIA ELSWICK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 911 BYPASS RD BLDG E, STE 1
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City | PIKEVILLE
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State | KY
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Zip | 41501
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Country | US
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Telephone | 606-218-3576
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Fax | 276-218-3961
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Provider Business Mailing Address
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Address Line | 338 KENTUCKY AVE SE
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City | NORTON
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State | VA
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Zip | 24273-2706
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Country | US
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Telephone | 276-345-2984
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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 | 019419
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License Number State | KY
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