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General NPI Number Information
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NPI Number | 1205940343
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Entity Type | Organization
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Legal Business Name | D AND F ENTERPRISES
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 508 S HIGH SCHOOL AVE
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City | COLUMBIA
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State | MS
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Zip | 39429-3000
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Country | US
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Telephone | 601-736-4562
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Fax | 601-736-4563
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Provider Business Mailing Address
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Address Line | 508 S HIGH SCHOOL AVE
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City | COLUMBIA
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State | MS
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Zip | 39429-3000
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Country | US
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Telephone | 601-736-4562
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Fax | 601-736-4563
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | MR. DENNIS PAUL CHANCE
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Credential | R.PH.
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Telephone | 601-736-4562
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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 | 00335
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License Number State | MS
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