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General NPI Number Information
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NPI Number | 1205145778
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Entity Type | Organization
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Legal Business Name | A & N HEALTHCARE CONSULTING GROUP, LLC
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Dates
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Enumeration Date | 10/01/2010
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 3809 BAXLEY RIDGE DR
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City | SUWANEE
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State | GA
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Zip | 30024-4503
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Country | US
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Telephone | 678-731-7307
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Fax | 678-731-7744
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Provider Business Mailing Address
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Address Line | 3809 BAXLEY RIDGE DR
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City | SUWANEE
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State | GA
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Zip | 30024-4503
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Country | US
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Telephone | 678-731-7307
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Fax | 678-731-7744
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. LAM LE
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Credential | PHARM.D
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Telephone | 678-731-7307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 64651
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 49846
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH026949
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License Number State | GA
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