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General NPI Number Information
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NPI Number | 1154901130
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Entity Type | Individual
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Provider Name | KENDYL CAROLINE WEEKS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 2260 WRIGHTSBORO RD
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City | AUGUSTA
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State | GA
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Zip | 30904-4764
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Country | US
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Telephone | 706-481-7529
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 FELDSPAR CT
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City | AUGUSTA
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State | GA
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Zip | 30909-0079
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Country | US
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Telephone | 706-829-8436
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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 | RPH032105
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License Number State | GA
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