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General NPI Number Information
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NPI Number | 1972100352
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Entity Type | Individual
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Provider Name | REBECCA ERIN BRYANT RPH
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Gender | Female
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 232 MAIN ST
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City | MUNFORDVILLE
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State | KY
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Zip | 42765-9043
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Country | US
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Telephone | 270-524-3669
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Fax |
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Provider Business Mailing Address
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Address Line | 896 HARDYVILLE RD
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City | MUNFORDVILLE
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State | KY
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Zip | 42765-8222
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Country | US
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Telephone | 270-925-1415
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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 | 021486
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License Number State | KY
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