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General NPI Number Information
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NPI Number | 1124634381
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Entity Type | Individual
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Provider Name | WILLIAM C BEGUHN
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Gender | Male
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 3130 ATLANTA HWY
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City | ATHENS
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State | GA
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Zip | 30606-6977
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Country | US
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Telephone | 706-715-6236
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Fax |
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Provider Business Mailing Address
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Address Line | 4530 BRAYDEN DR
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City | GAINESVILLE
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State | GA
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Zip | 30504-9233
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Country | US
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Telephone | 706-870-2402
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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 | RPH032113
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License Number State | GA
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