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General NPI Number Information
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NPI Number | 1366555013
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Entity Type | Organization
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Legal Business Name | TAMMY V GARRETT
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 11964 ESCUE DR STE A
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City | TANNER
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State | AL
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Zip | 35671-3680
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Country | US
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Telephone | 256-232-6588
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Fax | 256-232-6589
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Provider Business Mailing Address
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Address Line | 11234 DRENNEN DR
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City | TANNER
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State | AL
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Zip | 35671-3622
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Country | US
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Telephone | 256-232-6588
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Fax | 256-232-6589
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Authorized Official
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Title or Position | OWNER/PIC
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Name | TAMMY V GARRETT
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Credential | RPH
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Telephone | 256-232-6588
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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 | 111155
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License Number State | AL
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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 | 11095
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License Number State | AL
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