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General NPI Number Information
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NPI Number | 1891318242
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Entity Type | Individual
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Provider Name | AMY R HARGETT PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 114 N MAIN ST
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City | BALTIMORE
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State | OH
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Zip | 43105-1210
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Country | US
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Telephone | 740-862-4240
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Fax |
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Provider Business Mailing Address
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Address Line | 711 N COLUMBUS ST APT B
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City | LANCASTER
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State | OH
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Zip | 43130-2539
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Country | US
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Telephone | 317-442-5617
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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 | 26028203A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03438905
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License Number State | OH
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