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General NPI Number Information
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NPI Number | 1275122533
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Entity Type | Individual
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Provider Name | JAMES BRADLEY GAY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 481 E G MILES PKWY
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City | HINESVILLE
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State | GA
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Zip | 31313-4006
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Country | US
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Telephone | 912-876-8125
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Fax |
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Provider Business Mailing Address
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Address Line | 15 MUELLER BND
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City | RICHMOND HILL
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State | GA
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Zip | 31324-4990
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Country | US
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Telephone | 912-484-6786
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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 | RPH027184
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License Number State | GA
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