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General NPI Number Information
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NPI Number | 1265072508
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Entity Type | Individual
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Provider Name | CHELSEA CLARK PEPPLES PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 48 BULLSBORO DR
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City | NEWNAN
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State | GA
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Zip | 30263-1461
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Country | US
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Telephone | 770-251-5188
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Fax | 770-254-9657
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Provider Business Mailing Address
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Address Line | 121 CODY TRL
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City | SENOIA
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State | GA
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Zip | 30276-6733
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Country | US
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Telephone | 404-285-1552
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH027197
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License Number State | GA
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