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General NPI Number Information
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NPI Number | 1992075022
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Entity Type | Individual
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Provider Name | ROLA MOUSA FRANKS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 300 MED TECH PKWY
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2277
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Country | US
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Telephone | 423-302-1087
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Fax |
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Provider Business Mailing Address
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Address Line | 468 JOHN CARSON RD
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City | TELFORD
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State | TN
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Zip | 37690-2222
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Country | US
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Telephone | 770-826-7483
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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 | 36126
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License Number State | TN
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