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General NPI Number Information
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NPI Number | 1225631062
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Entity Type | Individual
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Provider Name | TANYA MICHELLE PEARSON RPH
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Gender | Female
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 201 INDEPENDENCE BLDG 1100
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City | COLUMBUS
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State | MS
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Zip | 39710-5300
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Country | US
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Telephone | 662-434-1161
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Fax | 662-434-2169
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Provider Business Mailing Address
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Address Line | 201 INDEPENDENCE BLDG 1100
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City | COLUMBUS
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State | MS
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Zip | 39710-5300
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Country | US
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Telephone | 662-434-1161
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Fax | 662-434-2169
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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 | 68208
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License Number State | TX
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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 | 47577
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-08226
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24246
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License Number State | AL
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