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General NPI Number Information
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NPI Number | 1154427706
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Entity Type | Individual
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Provider Name | GALE SUE SPEARS RPH
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2896 MCDOWELL ROAD EXT
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City | JACKSON
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State | MS
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Zip | 39204-4238
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Country | US
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Telephone | 601-371-7350
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Fax | 601-371-2090
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Provider Business Mailing Address
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Address Line | 4036 MILITARY RD
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City | RAYMOND
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State | MS
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Zip | 39154-8898
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Country | US
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Telephone | 601-852-4033
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Fax | 601-852-2050
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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 | T-08985
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License Number State | MS
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