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General NPI Number Information
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NPI Number | 1679479893
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Entity Type | Individual
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Provider Name | MELISSA MARIE SLAYTON PHARMD
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Gender |
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Dates
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Enumeration Date | 10/15/2026
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Last Update Date | 10/15/2026
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Provider Practice Location Address
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Address Line | 6555 QUINCE RD
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City | MEMPHIS
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State | TN
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Zip | 38119-8202
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Country | US
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Telephone | 901-515-3169
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Fax |
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Provider Business Mailing Address
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Address Line | 3763 CARDINAL AVE
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City | MEMPHIS
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State | TN
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Zip | 38111-6901
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Country | US
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Telephone | 901-412-1603
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 43302
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License Number State | TN
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