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General NPI Number Information
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NPI Number | 1811674658
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Entity Type | Organization
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Legal Business Name | RED 8 MEDICAL PLLC
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 96 SEATON AVE UNIT 8
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City | GREENUP
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State | KY
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Zip | 41144-1193
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Country | US
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Telephone | 513-285-8883
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Fax | 502-792-7289
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Provider Business Mailing Address
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Address Line | 96 SEATON AVE UNIT 8
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City | GREENUP
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State | KY
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Zip | 41144-1193
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Country | US
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Telephone | 513-285-8883
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Fax | 502-792-7289
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Authorized Official
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Title or Position | PHARMACIST
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Name | TYLER FLAUGHER
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Credential | PHARMD
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Telephone | 606-316-6606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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