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General NPI Number Information
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NPI Number | 1285265314
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Entity Type | Individual
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Provider Name | MELINDA POUNDS GILLESPIE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/28/2020
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 1595 PEACHTREE PKWY
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City | CUMMING
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State | GA
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Zip | 30041-9584
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Country | US
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Telephone | 678-455-4585
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Fax | 678-455-4588
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Provider Business Mailing Address
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Address Line | 1005 STEFAN WALK
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City | CUMMING
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State | GA
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Zip | 30040-3561
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Country | US
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Telephone | 770-733-5684
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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 | RPH021371
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License Number State | GA
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