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General NPI Number Information
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NPI Number | 1609189570
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Entity Type | Individual
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Provider Name | MARK TERRY MASINGILL DOCTOR OF PHARMACY
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Gender | Male
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 3251 COPPER RIDGE RD
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City | MORRISTOWN
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State | TN
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Zip | 37814-5815
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Country | US
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Telephone | 423-307-0019
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Fax |
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Provider Business Mailing Address
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Address Line | 3251 COPPER RIDGE RD
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City | MORRISTOWN
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State | TN
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Zip | 37814-5815
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Country | US
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Telephone | 423-307-0019
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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 | 28742
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14284
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12574
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202208730
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7168
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License Number State | KY
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