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General NPI Number Information
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NPI Number | 1164801833
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Entity Type | Individual
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Provider Name | SAMANTHA R WHEELER RPH, PHARMD, BCPS
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Gender | Female
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Dates
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Enumeration Date | 05/27/2015
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 1310 24TH AVE S
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City | NASHVILLE
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State | TN
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Zip | 37212-2637
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Country | US
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Telephone | 931-478-0227
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 LENORE ST
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City | NASHVILLE
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State | TN
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Zip | 37206-3126
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Country | US
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Telephone |
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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 | 38537
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 38537
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License Number State | TN
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