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General NPI Number Information
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NPI Number | 1215025846
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Entity Type | Individual
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Provider Name | WILLIAM RALPH SEBASTIAN RPH
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4231 MACON ROAD
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City | COLUMBUS
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State | GA
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Zip | 31907
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Country | US
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Telephone | 706-563-6844
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Fax | 706-563-0483
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Provider Business Mailing Address
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Address Line | 239 PINTAIL DR
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City | CATAULA
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State | GA
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Zip | 31804-4151
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Country | US
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Telephone | 706-327-4298
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Fax | 706-563-0483
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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 | 13352
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | 13352
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 13352
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 13352
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License Number State | GA
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