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General NPI Number Information
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NPI Number | 1679267157
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Entity Type | Organization
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Legal Business Name | D & S BEST FRIENDS DISPENSARY LLC
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 3405 S FRONTAGE RD STE B
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City | COLUMBUS
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State | MS
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Zip | 39701-8403
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Country | US
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Telephone | 601-818-1570
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Fax |
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Provider Business Mailing Address
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Address Line | 118 COLLEGE DR # 8675
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City | HATTIESBURG
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State | MS
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Zip | 39406-0002
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Country | US
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Telephone | 601-818-1570
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DAWN LOWAN ENGLISH
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Credential |
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Telephone | 601-818-1570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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