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General NPI Number Information
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NPI Number | 1790760528
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Entity Type | Individual
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Provider Name | AMY L FESSLER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 220 VIRGINIA AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-3632
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Country | US
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Telephone | 317-488-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 545 BOONE DR
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City | TROY
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State | OH
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Zip | 45373-9308
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Country | US
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Telephone | 937-657-3768
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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 | 03-3-26883
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03326883
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License Number State | OH
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