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NPI 1699859959

NPI 1699859959 : LINDA H MAYS DPH : CENTERVILLE, TN

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General NPI Number Information
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    NPI Number           |    1699859959
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA H MAYS DPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/24/2006
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    Last Update Date     |    06/11/2013
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Provider Practice Location Address
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    Address Line         |    146 E SWAN ST 
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    City                 |    CENTERVILLE
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    State                |    TN
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    Zip                  |    37033-1446
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    Country              |    US
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    Telephone            |    931-729-2999
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    Fax                  |    931-729-3393
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Provider Business Mailing Address
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    Address Line         |    PO BOX 258 
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    City                 |    CENTERVILLE
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    State                |    TN
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    Zip                  |    37033-0258
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    Country              |    US
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    Telephone            |    931-729-2999
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    Fax                  |    931-729-3393
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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       |    2786
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    License Number State |    TN
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