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General NPI Number Information
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NPI Number | 1871659169
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Entity Type | Individual
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Provider Name | SANDRA F ANDERSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 234 MEDICAL CIRCLE MOREHEAD CLINIC PHARMACY
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City | MOREHEAD
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State | KY
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Zip | 40351
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Country | US
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Telephone | 606-784-6696
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Fax | 606-780-4554
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Provider Business Mailing Address
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Address Line | 246 SHELTON WAY
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City | MT STERLING
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State | KY
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Zip | 40353-7949
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Country | US
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Telephone | 859-498-5393
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Fax | 606-780-4554
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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 | 12554
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License Number State | KY
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