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General NPI Number Information
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NPI Number | 1194631655
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Entity Type | Individual
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Provider Name | ADRIAN GHADRDAN
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Gender | Male
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 2336 ATLANTA HWY
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City | CUMMING
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State | GA
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Zip | 30040-6370
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Country | US
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Telephone | 470-253-4893
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Fax |
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Provider Business Mailing Address
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Address Line | 2437 SANTA ROSA ST
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City | ALPHARETTA
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State | GA
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Zip | 30009-2456
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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 |
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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 | RPH036443
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License Number State | GA
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