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General NPI Number Information
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NPI Number | 1760159750
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Entity Type | Individual
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Provider Name | WALAA AYOUB
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Gender | Female
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 2006 MEDICAL CENTER PKWY
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City | MURFREESBORO
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State | TN
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Zip | 37129-3186
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Country | US
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Telephone | 615-896-2768
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Fax |
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Provider Business Mailing Address
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Address Line | 910 ROSS CREEK WAY
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City | LEBANON
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State | TN
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Zip | 37087-1598
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Country | US
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Telephone | 615-830-4947
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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 | 44902
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License Number State | TN
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