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General NPI Number Information
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NPI Number | 1992397004
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Entity Type | Individual
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Provider Name | AMANDA LEE BARBER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 2160 BLACKLOG RD STE 100
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City | INEZ
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State | KY
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Zip | 41224-9019
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Country | US
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Telephone | 606-298-7283
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Fax | 606-298-4538
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Provider Business Mailing Address
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Address Line | 398 E DORTON BLVD
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City | STAFFORDSVILLE
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State | KY
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Zip | 41256-9011
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Country | US
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Telephone | 606-298-7283
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Fax | 606-298-4538
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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 | 017649
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License Number State | KY
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