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General NPI Number Information
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NPI Number | 1558881599
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Entity Type | Individual
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Provider Name | NANCY FUTCH
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 318 E COLLEGE ST STE 102
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City | DICKSON
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State | TN
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Zip | 37055-1832
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Country | US
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Telephone | 615-682-8472
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Fax | 615-988-6970
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Provider Business Mailing Address
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Address Line | 9115 AUSTIN LN
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City | LYLES
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State | TN
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Zip | 37098-1584
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Country | US
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Telephone | 615-351-0062
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 24982
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License Number State | TN
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