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General NPI Number Information
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NPI Number | 1821952516
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Entity Type | Individual
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Provider Name | MEGHAN JACKSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1 TRILLIUM WAY STE 204
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City | CORBIN
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State | KY
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Zip | 40701-8426
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Country | US
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Telephone | 606-523-1934
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Fax | 606-526-4031
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Provider Business Mailing Address
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Address Line | 1 TRILLIUM WAY STE 204
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City | CORBIN
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State | KY
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Zip | 40701-8426
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Country | US
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Telephone | 606-523-1934
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Fax | 606-526-4031
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 024379
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License Number State | KY
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