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General NPI Number Information
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NPI Number | 1558453266
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Entity Type | Individual
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Provider Name | SUSAN FRANCES WRENN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 WESTSIDE DRIVE
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City | TULLAHOMA
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State | TN
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Zip | 37388
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Country | US
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Telephone | 931-455-5409
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Fax | 931-455-5469
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Provider Business Mailing Address
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Address Line | 230 WINTERBERRY CIRCLE
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City | MANCHESTER
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State | TN
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Zip | 37355
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Country | US
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Telephone | 931-728-4836
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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 | 24745
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License Number State | TN
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