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General NPI Number Information
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NPI Number | 1710180682
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Entity Type | Individual
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Provider Name | SHANNON EUBANKS PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 216 CENTERVIEW DR SUITE 390
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City | BRENTWOOD
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State | TN
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Zip | 37027-3226
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Country | US
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Telephone | 615-661-0970
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Fax |
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Provider Business Mailing Address
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Address Line | 411 INDUSTRIAL DR
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City | WHITE HOUSE
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State | TN
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Zip | 37188-8150
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Country | US
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Telephone |
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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 | 10102
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License Number State | TN
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Taxonomy #2
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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 | 10102
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 10102
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 10102
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 10102
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License Number State | TN
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