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General NPI Number Information
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NPI Number | 1053783662
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Entity Type | Individual
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Provider Name | JENNY B BARTHOLOMEW B.S. PHARM
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Gender | Female
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 10/22/2015
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Provider Practice Location Address
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Address Line | 1975 E MONTGOMERY CROSSROAD
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City | SAVANNAH
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State | GA
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Zip | 31406
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Country | US
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Telephone | 912-352-8223
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Fax |
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Provider Business Mailing Address
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Address Line | 1975 E MONTGOMERY CROSSROAD
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City | SAVANNAH
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State | GA
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Zip | 31406
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Country | US
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Telephone | 912-352-8223
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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 | RPH021906
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License Number State | GA
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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 | 13906
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14580
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License Number State | LA
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