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NPI 1144513706

NPI 1144513706 : MRS. WENDY FIELDER : BRENTWOOD, TN

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General NPI Number Information
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    NPI Number           |    1144513706
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. WENDY FIELDER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/16/2011
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    Last Update Date     |    05/16/2011
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Provider Practice Location Address
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    Address Line         |    210 FRANKLIN RD STE 100 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-3218
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    Country              |    US
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    Telephone            |    615-373-8957
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    Fax                  |    615-376-4161
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Provider Business Mailing Address
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    Address Line         |    114 MAYFAIR RD 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37205-1826
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    Country              |    US
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    Telephone            |    615-335-3778
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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       |    10738
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    License Number State |    TN
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