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General NPI Number Information
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NPI Number | 1841930534
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Entity Type | Individual
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Provider Name | THOMAS JOSEPH FRY RPH
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Gender | Male
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 82 SPRUCE ST
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City | MURRAY
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State | KY
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Zip | 42071-2150
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Country | US
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Telephone | 270-762-0602
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2241
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City | WINDERMERE
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State | FL
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Zip | 34786-2241
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Country | US
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Telephone |
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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 | 009284
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License Number State | KY
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