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General NPI Number Information
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NPI Number | 1043737810
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Entity Type | Individual
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Provider Name | DEBORAH SMITH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 08/23/2017
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Provider Practice Location Address
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Address Line | 905 N PONTOTOC ST
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City | HOUSTON
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State | MS
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Zip | 38851-1516
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Country | US
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Telephone | 662-448-6011
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Fax | 662-448-6014
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Provider Business Mailing Address
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Address Line | 21009 WILLS TRCE
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City | OXFORD
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State | MS
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Zip | 38655-5187
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Country | US
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Telephone | 662-607-8829
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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 | E-09789
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License Number State | MS
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