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General NPI Number Information
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NPI Number | 1366031262
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Entity Type | Individual
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Provider Name | SHELTON KATE GIVENS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 01/06/2024
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Provider Practice Location Address
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Address Line | 1100 BELK BLVD
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City | OXFORD
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State | MS
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Zip | 38655-5242
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Country | US
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Telephone | 256-460-0182
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Fax |
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Provider Business Mailing Address
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Address Line | 2998 OLD TAYLOR RD APT 1412
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City | OXFORD
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State | MS
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Zip | 38655-5654
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Country | US
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Telephone | 662-636-1465
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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 | E-101228
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License Number State | MS
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