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General NPI Number Information
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NPI Number | 1124677927
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Entity Type | Organization
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Legal Business Name | DOBBINS FAMILY PHARMACY LLC
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 1017 HIGHWAY 57 S
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City | LEAKESVILLE
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State | MS
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Zip | 39451
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Country | US
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Telephone | 601-394-4720
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 957
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City | LEAKESVILLE
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State | MS
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Zip | 39451-0957
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Country | US
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Telephone | 601-394-4720
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Fax |
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Authorized Official
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Title or Position | PIC/OWNER
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Name | KAYLA DOBBINS
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Credential | PHARMD
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Telephone | 601-394-9495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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