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General NPI Number Information
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NPI Number | 1174296073
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Entity Type | Individual
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Provider Name | MOSES KARANJA KIRIGWI RPH
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Gender | Male
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 4051 STONE MOUNTAIN HWY
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City | LILBURN
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State | GA
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Zip | 30047-8424
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Country | US
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Telephone | 770-837-2625
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Fax |
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Provider Business Mailing Address
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Address Line | 3078 CLAIRMONT RD NE APT 316
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City | BROOKHAVEN
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State | GA
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Zip | 30329-1662
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Country | US
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Telephone | 678-698-7229
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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 | RPH031167
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License Number State | GA
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