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General NPI Number Information
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NPI Number | 1053533984
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Entity Type | Individual
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Provider Name | CRYSTAL HOLMES HEMBREE CPHT
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 406 COURTHOUSE SQUARE
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City | BUCHANAN
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State | GA
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Zip | 30113
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Country | US
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Telephone | 770-646-3570
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Fax | 770-646-3571
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Provider Business Mailing Address
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Address Line | 259 S CARROLL RD
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City | VILLA RICA
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State | GA
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Zip | 30180-2627
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Country | US
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Telephone | 678-858-7362
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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