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General NPI Number Information
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NPI Number | 1356649958
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Entity Type | Individual
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Provider Name | KRISTY TERRELL PHARM D
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Gender | Female
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Dates
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Enumeration Date | 03/05/2011
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 33 W MONTGOMERY XRD
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City | SAVANNAH
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State | GA
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Zip | 31406
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Country | US
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Telephone | 912-927-1448
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Fax |
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Provider Business Mailing Address
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Address Line | 805 WOODBERRY DR
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City | EVANS
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State | GA
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Zip | 30809-4456
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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 |
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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 | 025332
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License Number State | GA
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