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General NPI Number Information
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NPI Number | 1013358993
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Entity Type | Individual
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Provider Name | JULIE CHILDERS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 12/15/2019
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Provider Practice Location Address
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Address Line | 775 PICKWICK ST
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City | SAVANNAH
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State | TN
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Zip | 38372-3053
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Country | US
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Telephone | 731-925-6200
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Fax | 731-925-1793
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Provider Business Mailing Address
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Address Line | 2602 FLORENCE BLVD
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City | FLORENCE
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State | AL
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Zip | 35630-2864
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Country | US
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Telephone | 256-764-0436
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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 | 17080
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0000037654
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License Number State | TN
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