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General NPI Number Information
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NPI Number | 1700245800
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Entity Type | Organization
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Legal Business Name | PINEVILLE COMMUNITY HOSPITAL ASSN INC
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 121 W VIRGINIA AVE
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City | PINEVILLE
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State | KY
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Zip | 40977-1661
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Country | US
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Telephone | 606-334-4133
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Fax | 606-337-4145
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Provider Business Mailing Address
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Address Line | 850 RIVERVIEW AVE
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City | PINEVILLE
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State | KY
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Zip | 40977-1452
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Country | US
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Telephone | 606-337-4240
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Fax |
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Authorized Official
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Title or Position | PIC HOSPITAL PHARMACY
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Name | ANDREW SCHNEIDER
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Credential |
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Telephone | 606-337-4240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P07747
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License Number State | KY
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