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General NPI Number Information
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NPI Number | 1336747757
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Entity Type | Individual
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Provider Name | GREGORY ALAN THOMASON RPH
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Gender | Male
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 2452 MOROSGO WAY NE
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City | ATLANTA
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State | GA
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Zip | 30324-3408
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Country | US
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Telephone | 404-946-0450
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Fax |
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Provider Business Mailing Address
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Address Line | 863 AMSTERDAM AVE NE
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City | ATLANTA
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State | GA
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Zip | 30306-3403
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Country | US
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Telephone | 678-772-1728
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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 | 012950
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License Number State | GA
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