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General NPI Number Information
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NPI Number | 1205358249
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Entity Type | Individual
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Provider Name | ANGELA MICHELLE GIVEN PHARM.D., R.PH
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Gender | Female
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 1312 PLANT AVE
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City | WAYCROSS
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State | GA
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Zip | 31501-3537
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Country | US
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Telephone | 912-285-7281
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Fax | 912-285-7546
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Provider Business Mailing Address
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Address Line | 237 TIMBER TRL
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City | NICHOLLS
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State | GA
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Zip | 31554-3859
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Country | US
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Telephone | 912-592-0349
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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 | 026291
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License Number State | GA
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