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General NPI Number Information
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NPI Number | 1336215946
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Entity Type | Organization
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Legal Business Name | G & T PHARMACEUTICAL INC
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 148A W GREEN ST
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City | HAZLEHURST
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State | MS
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Zip | 39083-3020
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Country | US
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Telephone | 601-894-3355
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Fax |
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Provider Business Mailing Address
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Address Line | 148A W GREEN ST
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City | HAZLEHURST
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State | MS
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Zip | 39083-3020
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Country | US
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Telephone | 601-894-3355
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT M FISHER
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Credential |
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Telephone | 601-894-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 04006 02.5
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License Number State | MS
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