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General NPI Number Information
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NPI Number | 1376919886
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Entity Type | Individual
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Provider Name | WILBER MITCHELL PLEASANTS PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 5169 BRUNSWICK ROAD BOX 305
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City | BRUNSWICK
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State | TN
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Zip | 38014-0305
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Country | US
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Telephone | 901-388-0507
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Fax | 901-388-0407
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Provider Business Mailing Address
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Address Line | 2302 PRESTWICK DR
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City | GERMANTOWN
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State | TN
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Zip | 38139-5433
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Country | US
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Telephone | 901-388-0507
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Fax | 901-388-0407
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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 | 9439
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License Number State | TN
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