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General NPI Number Information
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NPI Number | 1780992776
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Entity Type | Individual
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Provider Name | BRENDA TRIBBLE HARLOW RPH
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Gender | Female
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 2616 HIGHWAY 82 E
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City | GREENWOOD
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State | MS
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Zip | 38930-6069
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Country | US
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Telephone | 662-455-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 93 WINDMERE DR
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City | GRENADA
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State | MS
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Zip | 38901-8045
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Country | US
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Telephone | 662-226-0990
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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 | E7068
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License Number State | MS
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