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General NPI Number Information
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NPI Number | 1033038922
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Entity Type | Individual
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Provider Name | JANISE PHILLIPS
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Gender |
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 5665 PEACHTREE DUNWOODY RD
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City | SANDY SPRINGS
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State | GA
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Zip | 30342-1764
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Country | US
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Telephone | 678-843-7109
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Fax |
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Provider Business Mailing Address
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Address Line | 330 STILL PINE BND
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City | SMYRNA
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State | GA
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Zip | 30082-1883
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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 | RPH026250
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License Number State | GA
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