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General NPI Number Information
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NPI Number | 1033237763
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Entity Type | Individual
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Provider Name | JAY ELIZABETH CEESAY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7941 TARA BLVD
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City | JONESBORO
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State | GA
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Zip | 30236-2205
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Country | US
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Telephone | 770-477-7488
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Fax | 770-477-2082
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Provider Business Mailing Address
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Address Line | 175 DEVILLA TRCE
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1472
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Country | US
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Telephone | 770-716-4179
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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 | RPH021555
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License Number State | GA
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