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NPI 1356359590

NPI 1356359590 : LEIGH B. EDWARDS RPH, PHARMD : MURFREESBORO, TN

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General NPI Number Information
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    NPI Number           |    1356359590
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    Entity Type          |    Individual 
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    Provider Name        |    LEIGH B. EDWARDS RPH, PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2006
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    Last Update Date     |    09/27/2018
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Provider Practice Location Address
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    Address Line         |    220 GLENIS DR 
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    City                 |    MURFREESBORO
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    State                |    TN
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    Zip                  |    37129-5150
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    Country              |    US
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    Telephone            |    615-225-3618
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1705 FAIRHAVEN LN 
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    City                 |    MURFREESBORO
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    State                |    TN
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    Zip                  |    37128-4934
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    Country              |    US
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    Telephone            |    
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    14863
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    10945
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    License Number State |    TN
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