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General NPI Number Information
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NPI Number | 1003060609
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Entity Type | Organization
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Legal Business Name | WS AND SKY INC
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 2790 LAWRENCEVILLE SUWANEE RD STE 150
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City | SUWANEE
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State | GA
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Zip | 30024-2671
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Country | US
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Telephone | 770-932-3023
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Fax | 770-932-2314
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Provider Business Mailing Address
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Address Line | 2790 LAWRENCEVILLE SUWANEE RD STE 150
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City | SUWANEE
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State | GA
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Zip | 30024-2671
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Country | US
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Telephone | 770-932-3023
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Fax | 770-932-2314
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Authorized Official
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Title or Position | MGMNT, PIC
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Name | SARA YIM
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Credential | RPH
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Telephone | 770-932-3023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE009522
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License Number State | GA
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