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General NPI Number Information
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NPI Number | 1255947925
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Entity Type | Individual
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Provider Name | JASMINE O MARCANTEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 4717 HWY 80 E STE B
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City | SAVANNAH
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State | GA
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Zip | 31410-2944
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Country | US
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Telephone | 912-898-2337
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Fax |
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Provider Business Mailing Address
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Address Line | 4717 HWY 80 E
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City | SAVANNAH
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State | GA
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Zip | 31410-2943
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Country | US
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Telephone | 912-898-2337
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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 | 42721
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License Number State | SC
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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 | RPH032375
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License Number State | GA
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