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General NPI Number Information
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NPI Number | 1902496888
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Entity Type | Individual
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Provider Name | LESLIE ROGERS MCWHERTER PHARM D
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Gender | Female
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 3051 MAIN ST
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City | PIKEVILLE
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State | TN
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Zip | 37367-5745
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Country | US
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Telephone | 423-447-2134
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Fax |
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Provider Business Mailing Address
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Address Line | 549 ASPEN TRL
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City | DAYTON
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State | TN
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Zip | 37321-6569
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Country | US
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Telephone | 423-280-1248
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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 | 7668
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License Number State | TN
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