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General NPI Number Information
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NPI Number | 1679198071
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Entity Type | Individual
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Provider Name | SHARON LYNN NATIONS RPH
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Gender | Female
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 540 JETT DRIVE PHARMACY
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City | JACKSON
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State | KY
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Zip | 41339-9622
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Country | US
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Telephone | 606-666-6333
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Fax | 606-666-6111
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Provider Business Mailing Address
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Address Line | KRMC 540 JETT DRIVE
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City | JACKSON
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State | KY
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Zip | 41339
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Country | US
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Telephone | 606-666-6333
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Fax | 606-666-6111
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 011125
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License Number State | KY
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