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General NPI Number Information
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NPI Number | 1720696149
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTHCARE SYSTEM, INC.
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 913 N DIXIE AVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2503
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Country | US
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Telephone | 270-706-1256
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Fax | 270-706-5491
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Provider Business Mailing Address
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Address Line | 2701 EASTPOINT PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40223-4166
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Country | US
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Telephone | 502-896-5000
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Fax | 502-896-5097
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Authorized Official
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Title or Position | SYSTEM DIRECTOR, COMMUNITY PHARMACY
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Name | SHWETA DESAI
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Credential |
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Telephone | 502-530-4125
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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 |
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License Number State |
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