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General NPI Number Information
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NPI Number | 1043339823
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Entity Type | Individual
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Provider Name | ELLEN BYRD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5215 LINBAR DR SUITE 210
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City | NASHVILLE
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State | TN
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Zip | 37211-1031
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Country | US
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Telephone | 615-957-8522
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 ALLENDALE PL
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City | NOLENSVILLE
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State | TN
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Zip | 37135-8483
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Country | US
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Telephone |
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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 | 21833
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13478
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS 41628
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License Number State | FL
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