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General NPI Number Information
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NPI Number | 1891625927
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Entity Type | Individual
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Provider Name | JOSHUA DAVID MELSON PHARMD, MBA
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Gender | Male
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Dates
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Enumeration Date | 05/20/2026
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Last Update Date | 05/20/2026
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Provider Practice Location Address
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Address Line | 503 STEVE DR
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-4653
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Country | US
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Telephone | 270-866-2226
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Fax |
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Provider Business Mailing Address
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Address Line | 108 HANNSONS PATH
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City | GEORGETOWN
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State | KY
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Zip | 40324-2145
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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 | 025656
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License Number State | KY
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