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General NPI Number Information
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NPI Number | 1174775647
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Entity Type | Organization
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Legal Business Name | TRANS ALLIANCE LAB INC
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 3050 MARTIN LUTHER KING JR DR SW
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City | ATLANTA
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State | GA
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Zip | 30311-1500
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Country | US
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Telephone | 404-699-9000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 767757
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City | ROSWELL
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State | GA
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Zip | 30076-7757
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Country | US
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Telephone | 404-699-9000
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | CHINWE B NWABUDE
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Credential |
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Telephone | 404-699-9000
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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 |
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License Number State |
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