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General NPI Number Information
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NPI Number | 1285298877
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Entity Type | Individual
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Provider Name | MELANIE MERCER BRASHEAR RPH
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Gender | Female
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 825 US HIGHWAY 271 N
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City | GILMER
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State | TX
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Zip | 75644-5580
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Country | US
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Telephone | 903-680-2600
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Fax | 903-680-2605
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Provider Business Mailing Address
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Address Line | 1320 FM 449
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City | LONGVIEW
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State | TX
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Zip | 75605-9265
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Country | US
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Telephone | 903-680-2600
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Fax | 903-260-2605
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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 | 290228
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License Number State | TX
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