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General NPI Number Information
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NPI Number | 1891869137
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Entity Type | Individual
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Provider Name | TERRY LEE MESSLER PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1745 SOUTH 8TH ST WINN DIXIE PHARMACY
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034
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Country | US
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Telephone | 904-277-6664
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Fax | 904-277-1501
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Provider Business Mailing Address
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Address Line | 2905 S FLETCHER AVE
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034
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Country | US
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Telephone | 904-277-4069
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Fax | 904-277-1501
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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 | PS0024351
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License Number State | FL
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