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General NPI Number Information
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NPI Number | 1992145874
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Entity Type | Individual
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Provider Name | KATY LYNNE CLIFTON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 606 BUTTERMILK PIKE
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City | CRESCENT SPRINGS
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State | KY
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Zip | 41017-1302
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Country | US
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Telephone | 859-344-1824
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Fax | 859-344-8204
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Provider Business Mailing Address
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Address Line | 949 GREENVIEW CT
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City | VILLA HILLS
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State | KY
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Zip | 41017-4520
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Country | US
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Telephone | 859-360-1539
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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 | 012924
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License Number State | KY
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