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General NPI Number Information
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NPI Number | 1366169765
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Entity Type | Individual
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Provider Name | MARCI BROWN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 184 W KYTLE ST
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City | CLEVELAND
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State | GA
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Zip | 30528-1330
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Country | US
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Telephone | 706-219-2626
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Fax | 706-219-1253
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Provider Business Mailing Address
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Address Line | 425 HIGHWAY 255 S
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City | CLEVELAND
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State | GA
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Zip | 30528-3510
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Country | US
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Telephone | 706-809-9954
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Fax | 706-219-1253
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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 | RPH032322
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License Number State | GA
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