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General NPI Number Information
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NPI Number | 1336548304
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Entity Type | Organization
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Legal Business Name | TRANS ALLIANCE MED AND DRUGS
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 2650 HOLCOMB BRIDGE RD STE 540
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City | ALPHARETTA
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State | GA
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Zip | 30022-5333
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Country | US
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Telephone | 770-992-9940
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 767757
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City | ROSWELL
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State | GA
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Zip | 30076-7757
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | BIBI NWABUDE
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Credential |
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Telephone | 770-992-9940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 060-R-0144
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License Number State | GA
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