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General NPI Number Information
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NPI Number | 1083943740
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Entity Type | Individual
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Provider Name | MELISSA GILLESPIE ANDERSON RPH
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Gender | Female
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 2102 5TH ST N STE 3
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City | COLUMBUS
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State | MS
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Zip | 39705-2222
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Country | US
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Telephone | 662-240-8900
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Fax | 866-306-8900
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Provider Business Mailing Address
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Address Line | 235 TIMBER CREEK DR
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City | COLUMBUS
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State | MS
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Zip | 39702-8028
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Country | US
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Telephone | 662-240-8900
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Fax | 866-876-8966
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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-8357
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License Number State | MS
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