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General NPI Number Information
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NPI Number | 1982205092
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Entity Type | Individual
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Provider Name | ALYSSA ROSE DENMAN PHARM D
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Gender | Female
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 1330 W BEEBE CAPPS EXPY
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City | SEARCY
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State | AR
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Zip | 72143-5177
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Country | US
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Telephone | 501-203-2013
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Fax | 501-203-2014
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Provider Business Mailing Address
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Address Line | 17 STONEYBROOK LN
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City | SEARCY
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State | AR
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Zip | 72143-6149
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Country | US
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Telephone | 901-831-6407
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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 | PD12809
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License Number State | AR
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