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General NPI Number Information
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NPI Number | 1245509801
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Entity Type | Individual
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Provider Name | TERRY LYNN FRANKLIN R.PH.
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Gender | Male
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Dates
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Enumeration Date | 12/27/2011
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Last Update Date | 12/27/2011
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Provider Practice Location Address
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Address Line | 747 MARTIN LUTHER KING BLVD N
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City | GREENVILLE
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State | MS
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Zip | 38703-2724
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Country | US
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Telephone | 662-335-1429
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Fax |
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Provider Business Mailing Address
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Address Line | 540 MAIN ST #302
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City | GREENVILLE
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State | MS
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Zip | 38701-4044
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Country | US
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Telephone | 662-394-5869
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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 | P05931
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License Number State | MS
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