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General NPI Number Information
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NPI Number | 1932757564
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Entity Type | Individual
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Provider Name | EMILY SUZANNE GOSHORN PHARM D
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Gender | Female
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 6711 ALEXANDRIA PIKE
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City | ALEXANDRIA
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State | KY
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Zip | 41001-1025
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Country | US
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Telephone | 859-635-8822
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Fax |
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Provider Business Mailing Address
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Address Line | 5805 GRANITE SPRING DR
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City | COLD SPRGS HIGHLAND HTS
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State | KY
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Zip | 41076-7103
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Country | US
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Telephone | 859-380-6253
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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 | 012693
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License Number State | KY
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