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General NPI Number Information
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NPI Number | 1700487980
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Entity Type | Individual
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Provider Name | JAMES MCGARY III PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 710 N DAVIS AVE
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City | CLEVELAND
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State | MS
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Zip | 38732-2102
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Country | US
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Telephone | 662-846-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 829 ARNOLD AVE
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City | GREENVILLE
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State | MS
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Zip | 38701-5812
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Country | US
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Telephone | 662-394-1012
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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-100003
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License Number State | MS
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