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General NPI Number Information
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NPI Number | 1770263212
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Entity Type | Individual
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Provider Name | MARY MARGARET RUSSELL LOYD PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 2946 S CHURCH ST
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City | MURFREESBORO
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State | TN
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Zip | 37127-8351
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Country | US
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Telephone | 615-217-2825
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Fax |
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Provider Business Mailing Address
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Address Line | 1737 RIGSBY AVE
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City | MURFREESBORO
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State | TN
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Zip | 37129-1342
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Country | US
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Telephone | 615-584-0454
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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 | 47196
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License Number State | TN
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