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General NPI Number Information
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NPI Number | 1245200203
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Entity Type | Individual
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Provider Name | GRACE A PILCHER MD
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 820 SAINT SEBASTIAN WAY STE 4C
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City | AUGUSTA
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State | GA
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Zip | 30901-2638
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Country | US
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Telephone | 706-774-5995
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Fax | 706-774-5996
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Provider Business Mailing Address
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Address Line | 820 SAINT SEBASTIAN WAY STE 4C
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City | AUGUSTA
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State | GA
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Zip | 30901-2638
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Country | US
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Telephone | 706-774-5995
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Fax | 706-774-5996
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 048515
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 48515
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License Number State | GA
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