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General NPI Number Information
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NPI Number | 1457744856
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Entity Type | Individual
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Provider Name | LESLEY EURA SPENCER PHARM D
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Gender | Female
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 2433 25TH AVE
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City | GULFPORT
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State | MS
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Zip | 39501-4525
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Country | US
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Telephone | 228-865-7293
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Fax | 228-865-3987
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Provider Business Mailing Address
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Address Line | 203 RUE ST DENIS
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3010
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Country | US
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Telephone | 228-324-5973
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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-010530
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License Number State | MS
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