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General NPI Number Information
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NPI Number | 1245230739
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Entity Type | Individual
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Provider Name | LEIGH MASSEY ALLEN PHARM D, BCACP, BCGP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 920 HIGHWAY 138 NW
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City | MONROE
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State | GA
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Zip | 30655-7702
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Country | US
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Telephone | 770-266-0278
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Fax | 770-207-9056
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Provider Business Mailing Address
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Address Line | 1010 ROBERTA CT. GREAT OAKS PHARMACY
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City | BISHOP
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State | GA
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Zip | 30621
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Country | US
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Telephone | 706-255-2357
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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 | 50010
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License Number State | FL
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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 | 11574
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License Number State | SC
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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 | 022147
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License Number State | GA
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