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General NPI Number Information
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NPI Number | 1346548476
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Entity Type | Individual
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Provider Name | DAYNA TIMMER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 4875 HWY 53 E SUITE B
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City | TATE
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State | GA
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Zip | 30177
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Country | US
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Telephone | 678-454-2323
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Fax | 678-454-2325
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Provider Business Mailing Address
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Address Line | 4875 HWY 53 E
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City | TATE
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State | GA
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Zip | 30177
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Country | US
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Telephone | 678-454-2300
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Fax | 678-454-2301
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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 | 12177
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH030370
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License Number State | GA
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