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General NPI Number Information
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NPI Number | 1316689219
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Entity Type | Organization
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Legal Business Name | JM CARDINAL INVESTMENTS LLC LAWRENCEVILLE
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 575 PROFESSIONAL DR STE 170
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-3335
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Country | US
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Telephone | 770-338-0971
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Fax | 770-338-5275
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Provider Business Mailing Address
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Address Line | 15 ALLATOONA TRACE DR SE
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City | ACWORTH
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State | GA
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Zip | 30102-3805
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Country | US
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Telephone | 678-463-9598
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Fax | 770-971-0315
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Authorized Official
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Title or Position | PHARMACIST
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Name | PAMALA SMITH MARQUESS
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Credential | PHARMD
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Telephone | 678-463-9598
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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 |
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License Number State |
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