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General NPI Number Information
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NPI Number | 1639849623
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Entity Type | Individual
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Provider Name | MELISSA ANDREWS(STEPHENS) RPH
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Gender | Female
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 5060 RAYMOND AVE
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City | TUPELO
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State | MS
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Zip | 38801-8671
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Country | US
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Telephone | 662-810-7732
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Fax |
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Provider Business Mailing Address
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Address Line | 60012 MCKENZIE RD
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City | SMITHVILLE
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State | MS
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Zip | 38870-9425
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Country | US
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Telephone | 662-610-1113
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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 | E-07526
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License Number State | MS
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