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General NPI Number Information
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NPI Number | 1841793080
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Entity Type | Organization
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Legal Business Name | PRUITT'S PHARMACY, LLC AT NEIGHBORHOOD HEALTH NAPIER CLINIC
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 107 CHARLES E DAVIS BLVD
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City | NASHVILLE
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State | TN
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Zip | 37210-2745
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Country | US
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Telephone | 615-346-3866
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Fax |
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Provider Business Mailing Address
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Address Line | 811 DICKERSON PIKE STE C
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City | NASHVILLE
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State | TN
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Zip | 37207-5633
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Country | US
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Telephone | 615-346-3866
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAWN D PRUITT
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Credential | PHARM.D.
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Telephone | 615-562-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 6267
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License Number State | TN
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