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General NPI Number Information
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NPI Number | 1922494699
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Entity Type | Individual
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Provider Name | MELISSA DANETTE HARRIS-CRAIG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 1040 RICHMOND ST
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2307
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Country | US
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Telephone | 606-256-9207
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Fax |
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Provider Business Mailing Address
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Address Line | 384 SPIRO RD
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City | MOUNT VERNON
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State | KY
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Zip | 40456-6305
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Country | US
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Telephone | 606-308-4998
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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 | 012889
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License Number State | KY
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