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General NPI Number Information
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NPI Number | 1265944508
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Entity Type | Organization
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Legal Business Name | CRWON MEDICAL INC.
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 10/26/2017
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Provider Practice Location Address
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Address Line | 695 HIGHWAY 3 N
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City | HAMPTON
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State | GA
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Zip | 30228-2832
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Country | US
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Telephone | 678-782-7044
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Fax | 678-782-7046
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Provider Business Mailing Address
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Address Line | 695 HIGHWAY 3 N
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City | HAMPTON
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State | GA
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Zip | 30228-2832
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Country | US
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Telephone | 678-782-7044
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Fax | 678-782-7046
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. OBY G UYANWUNE
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Credential |
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Telephone | 678-682-7044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE010396
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License Number State | GA
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