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General NPI Number Information
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NPI Number | 1912680091
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Entity Type | Individual
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Provider Name | MALLORY MCWHERTER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 7087 HWY 70 S
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City | NASHVILLE
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State | TN
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Zip | 37221-2269
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Country | US
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Telephone | 615-662-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 3RD AVE N APT 525
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City | NASHVILLE
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State | TN
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Zip | 37208-2986
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Country | US
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Telephone | 423-618-3138
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 47408
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License Number State | TN
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