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General NPI Number Information
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NPI Number | 1194452359
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Entity Type | Individual
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Provider Name | JERAMY DOWNS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/06/2022
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Last Update Date | 08/06/2022
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Provider Practice Location Address
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Address Line | 1017 HIGHWAY 57
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City | LEAKESVILLE
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State | MS
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Zip | 39451-5807
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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 | 6229 MERRILL RD
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City | LUCEDALE
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State | MS
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Zip | 39452-5429
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Country | US
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Telephone | 228-327-2588
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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 | E-12173
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License Number State | MS
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