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General NPI Number Information
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NPI Number | 1366346371
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Entity Type | Individual
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Provider Name | RYAN NGOMSU SAKAM
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Gender | Male
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 3330 CHASTAIN MEADOWS PKWY NW # 100
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City | KENNESAW
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State | GA
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Zip | 30144-5881
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Country | US
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Telephone | 770-421-1399
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 DOWNWOOD CIR NW UNIT 2332
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City | ATLANTA
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State | GA
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Zip | 30327-1692
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Country | US
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Telephone | 815-650-6950
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPH036561
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | RPH036561
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 1835C0207X
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Taxonomy Name | Compounded Sterile Preparations Pharmacist
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License Number | RPH036561
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License Number State | GA
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