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NPI 1275815789

NPI 1275815789 : CASEY SANDERS BELL PHARM.D. : CAIRO, GA

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General NPI Number Information
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    NPI Number           |    1275815789
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    Entity Type          |    Individual 
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    Provider Name        |    CASEY SANDERS BELL PHARM.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/12/2011
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    Last Update Date     |    09/12/2011
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Provider Practice Location Address
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    Address Line         |    501 US HIGHWAY 84 E 
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    City                 |    CAIRO
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    State                |    GA
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    Zip                  |    39828-1852
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    Country              |    US
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    Telephone            |    229-377-5510
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    Fax                  |    229-377-5515
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Provider Business Mailing Address
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    Address Line         |    501 US HIGHWAY 84 E 
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    City                 |    CAIRO
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    State                |    GA
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    Zip                  |    39828-1852
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    Country              |    US
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    Telephone            |    229-377-5510
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    Fax                  |    229-377-5515
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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       |    RPH024100
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    License Number State |    GA
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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       |    PS42860
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    License Number State |    FL
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