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General NPI Number Information
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NPI Number | 1215338108
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Entity Type | Individual
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Provider Name | JEFFREY MERRILL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 4542 HIGHWAY 58
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City | CHATTANOOGA
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State | TN
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Zip | 37416-3009
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Country | US
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Telephone | 423-892-6787
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Fax | 423-892-4621
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Provider Business Mailing Address
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Address Line | 71 WHEELERTOWN AVE
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City | PIKEVILLE
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State | TN
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Zip | 37367-5246
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Country | US
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Telephone | 423-447-5316
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Fax | 423-447-5283
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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 | RPH027841
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 38395
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License Number State | TN
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