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General NPI Number Information
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NPI Number | 1972020204
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Entity Type | Individual
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Provider Name | HARRY LEWIS SPEIGHTS JR. PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 08/28/2017
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Provider Practice Location Address
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Address Line | HWY 13 N. 1110 SUITE 5
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City | COLUMBIA
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State | MS
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Zip | 39429
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Country | US
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Telephone | 601-736-3394
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Fax | 601-736-3499
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Provider Business Mailing Address
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Address Line | HWY 13 NORTH 1110 SUITE 5
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City | COLUMBIA
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State | MS
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Zip | 39429
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Country | US
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Telephone | 601-736-3394
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Fax | 601-736-3499
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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 | E-6974
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License Number State | MS
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