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General NPI Number Information
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NPI Number | 1811769649
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Entity Type | Organization
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Legal Business Name | FP DIRECT LLP
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 133 S MORGAN ST
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City | MORGANFIELD
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State | KY
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Zip | 42437
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Country | US
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Telephone | 270-997-9781
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Fax | 270-652-1040
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Provider Business Mailing Address
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Address Line | PO BOX 12
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City | MORGANFIELD
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State | KY
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Zip | 42437-0012
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Country | US
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Telephone | 270-997-9781
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Fax | 270-652-1040
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Authorized Official
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Title or Position | MEMBER
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Name | TABITHIA FISCHBECK
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Credential | PHARMD
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Telephone | 270-997-9781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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