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General NPI Number Information
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NPI Number | 1760893911
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Entity Type | Individual
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Provider Name | BRYAN KRAHENBUHL R.PH
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Gender | Male
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Dates
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Enumeration Date | 05/09/2014
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Last Update Date | 05/09/2014
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Provider Practice Location Address
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Address Line | 5400 ALEXANDRIA PIKE
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City | COLD SPRING
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State | KY
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Zip | 41076-2169
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Country | US
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Telephone | 859-448-4233
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Fax |
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Provider Business Mailing Address
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Address Line | 9159 TABOR CT
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City | FLORENCE
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State | KY
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Zip | 41042-8333
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Country | US
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Telephone | 859-657-6424
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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 | 011691
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License Number State | KY
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