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General NPI Number Information
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NPI Number | 1548946510
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Entity Type | Individual
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Provider Name | MARIAH PELTON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 7604 HWY 70 S
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City | NASHVILLE
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State | TN
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Zip | 37221
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Country | US
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Telephone | 615-646-1870
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Fax |
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Provider Business Mailing Address
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Address Line | 5800 RIVER RD APT 308
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City | NASHVILLE
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State | TN
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Zip | 37209
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Country | US
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Telephone | 352-459-3719
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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 | 47145
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License Number State | TN
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