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General NPI Number Information
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NPI Number | 1033457346
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Entity Type | Individual
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Provider Name | LISA ANNE BIDDULPH RPH
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Gender | Female
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 6120 ALABAMA HWY
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City | RINGGOLD
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State | GA
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Zip | 30736-2804
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Country | US
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Telephone | 706-935-5444
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Fax | 706-935-5443
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Provider Business Mailing Address
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Address Line | 200 RIVER VISTA DR UNIT 537
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City | ATLANTA
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State | GA
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Zip | 30339-7618
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Country | US
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Telephone | 770-547-4838
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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 | RPH014165
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License Number State | GA
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