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NPI 1982327862

NPI 1982327862 : COURTNEY COX : HERMITAGE, TN

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General NPI Number Information
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    NPI Number           |    1982327862
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    Entity Type          |    Individual 
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    Provider Name        |    COURTNEY COX
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/26/2022
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    Last Update Date     |    09/26/2022
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Provider Practice Location Address
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    Address Line         |    5544 OLD HICKORY BLVD 
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    City                 |    HERMITAGE
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    State                |    TN
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    Zip                  |    37076-2576
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    Country              |    US
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    Telephone            |    615-883-0332
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5544 OLD HICKORY BLVD 
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    City                 |    HERMITAGE
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    State                |    TN
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    Zip                  |    37076-2576
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    Country              |    US
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    Telephone            |    
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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       |    46271
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    License Number State |    TN
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