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General NPI Number Information
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NPI Number | 1194761023
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Entity Type | Individual
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Provider Name | NORMA CLAIR RAINS RPH
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Gender | Female
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1670 CLAIRMONT RD
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City | DECATUR
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State | GA
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Zip | 30033-4004
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Country | US
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Telephone | 404-321-6111
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Fax | 404-327-4957
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Provider Business Mailing Address
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Address Line | 10665 THATCHER WAY
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City | DULUTH
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State | GA
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Zip | 30097-5709
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Country | US
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Telephone | 770-740-9102
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Fax | 404-327-4957
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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 | 208U00000X
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Taxonomy Name | Clinical Pharmacology Physician
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License Number | AL6023
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License Number State | AL
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