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General NPI Number Information
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NPI Number | 1205174620
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Entity Type | Individual
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Provider Name | DEANNA MERIDETH COLEMAN RPH
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Gender | Female
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 2902 PEACH ORCHARD RD
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City | AUGUSTA
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State | GA
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Zip | 30906-3504
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Country | US
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Telephone | 706-798-8088
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Fax | 706-560-1439
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Provider Business Mailing Address
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Address Line | 6821 PECAN RD
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City | APPLING
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State | GA
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Zip | 30802-2315
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Country | US
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Telephone | 706-541-9996
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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 | 13077
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 025638
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26014204A
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License Number State | IN
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