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General NPI Number Information
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NPI Number | 1851476808
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Entity Type | Individual
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Provider Name | SHERI T COLLINS RPH
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 1005 MARKET ST
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City | PORT GIBSON
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State | MS
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Zip | 39150-2337
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Country | US
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Telephone | 601-636-5214
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Fax | 601-636-5272
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Provider Business Mailing Address
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Address Line | 1005 MARKET ST
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City | PORT GIBSON
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State | MS
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Zip | 39150-2337
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Country | US
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Telephone | 601-437-5121
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Fax | 601-437-5102
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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 | E08776
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License Number State | MS
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