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General NPI Number Information
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NPI Number | 1538251533
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Entity Type | Individual
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Provider Name | RUDYEA LESHEA WOODBERRY PHARM D
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 220 ATHENS WAY STE 150
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City | NASHVILLE
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State | TN
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Zip | 37228-1311
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Country | US
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Telephone | 615-312-4003
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Fax | 800-952-4488
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Provider Business Mailing Address
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Address Line | 4211 EATONS CREEK RD
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City | NASHVILLE
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State | TN
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Zip | 37218-1004
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Country | US
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Telephone | 615-313-7061
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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 | 9069
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License Number State | TN
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