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General NPI Number Information
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NPI Number | 1770714511
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Entity Type | Individual
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Provider Name | LAURA DICKEY MEANY RPH
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Gender | Female
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 5171 SAM JARED DR BLDG 112
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City | MURFREESBORO
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State | TN
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Zip | 37130-1382
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Country | US
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Telephone | 615-904-9727
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 OAKSIDE CT
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City | MURFREESBORO
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State | TN
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Zip | 37128-5892
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Country | US
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Telephone | 615-962-9970
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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 | 33534
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12276
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License Number State | AL
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