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General NPI Number Information
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NPI Number | 1790386506
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Entity Type | Individual
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Provider Name | LORI DOSHER OWENS PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | WAL-MART 1831 HWY 1 SOUTH
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City | GREENVILLE
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State | MS
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Zip | 38701
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Country | US
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Telephone | 662-332-9992
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Fax | 662-332-9992
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Provider Business Mailing Address
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Address Line | 561 TURNER RD
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City | OAK GROVE
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State | LA
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Zip | 71263-8075
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Country | US
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Telephone | 318-282-8931
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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 | E09737
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License Number State | MS
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