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General NPI Number Information
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NPI Number | 1245515147
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Entity Type | Individual
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Provider Name | CHARLES MICHAEL MCAFEE RPH
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Gender | Male
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Dates
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Enumeration Date | 10/12/2011
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 1280 GRAY HWY
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City | MACON
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State | GA
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Zip | 31211-1921
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Country | US
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Telephone | 478-745-3902
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Fax |
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Provider Business Mailing Address
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Address Line | 346 RUM CREEK TRL
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City | DUBLIN
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State | GA
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Zip | 31021-2021
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Country | US
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Telephone |
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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 | 012895
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License Number State | GA
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