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General NPI Number Information
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NPI Number | 1679312474
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Entity Type | Individual
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Provider Name | SARENA LOTT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 1601 CENTER ST
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City | MOBILE
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State | AL
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Zip | 36604-1541
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Country | US
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Telephone | 251-434-3711
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Fax |
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Provider Business Mailing Address
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Address Line | 13592 WINDROSE CIR
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City | GULFPORT
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State | MS
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Zip | 39503-5003
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Country | US
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Telephone | 228-860-6414
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | E-101312
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License Number State | MS
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