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NPI 1316246374

NPI 1316246374 : AMANDA TURNER : GRIFFIN, GA

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General NPI Number Information
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    NPI Number           |    1316246374
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA TURNER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/16/2011
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    Last Update Date     |    10/06/2020
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Provider Practice Location Address
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    Address Line         |    405 S HILL ST 
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    City                 |    GRIFFIN
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    State                |    GA
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    Zip                  |    30224-4225
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    Country              |    US
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    Telephone            |    770-412-6006
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    Fax                  |    770-412-8813
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Provider Business Mailing Address
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    Address Line         |    832 CANNAFAX RD 
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    City                 |    BARNESVILLE
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    State                |    GA
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    Zip                  |    30204-3477
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    Country              |    US
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    Telephone            |    770-500-2167
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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       |    RPH024993
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    License Number State |    GA
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