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General NPI Number Information
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NPI Number | 1114539756
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Entity Type | Individual
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Provider Name | LOGAN HALEY ROSS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 1211 MEDICAL CENTER DR
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City | NASHVILLE
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State | TN
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Zip | 37232-1338
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Country | US
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Telephone | 615-322-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3693 BURGESS GOWER RD
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City | CEDAR HILL
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State | TN
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Zip | 37032-5545
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Country | US
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Telephone | 615-681-7763
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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 | 021814
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License Number State | KY
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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 | 44253
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License Number State | TN
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