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General NPI Number Information
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NPI Number | 1063546596
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Entity Type | Organization
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Legal Business Name | PHOEBE PUTNEY MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 425 W 3RD AVE STE 100
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City | ALBANY
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State | GA
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Zip | 31701-1956
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Country | US
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Telephone | 229-312-5500
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Fax | 229-312-5505
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Provider Business Mailing Address
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Address Line | PO BOX 1828
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City | ALBANY
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State | GA
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Zip | 31702-1828
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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 | PHARMACIST
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Name | DANIEL MCMILLAN
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Credential | RPH
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Telephone | 229-312-7590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE009103
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License Number State | GA
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