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General NPI Number Information
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NPI Number | 1346958477
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Entity Type | Organization
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Legal Business Name | TLG CONSULTING LLC
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 119 W. 6TH STREET
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City | WAYNESBORO
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State | GA
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Zip | 30830-1459
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Country | US
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Telephone | 706-554-7000
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Fax | 706-437-0752
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Provider Business Mailing Address
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Address Line | 119 W. 6TH STREET
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City | WAYNESBORO
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State | GA
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Zip | 30830-1459
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Country | US
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Telephone | 706-554-7000
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Fax | 706-437-0752
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Authorized Official
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Title or Position | OWNER
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Name | TERESA GORDY LAMB
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Credential | M.T
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Telephone | 706-554-7000
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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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