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General NPI Number Information
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NPI Number | 1366566366
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Entity Type | Organization
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Legal Business Name | PHARMACY STAFFING NETWORK, INC
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3560 CHERRY RIDGE DR
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City | DECATUR
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State | GA
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Zip | 30034-5025
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Country | US
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Telephone | 404-567-4059
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Fax | 404-963-6221
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Provider Business Mailing Address
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Address Line | 3560 CHERRY RIDGE DR
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City | DECATUR
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State | GA
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Zip | 30034-5025
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Country | US
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Telephone | 404-567-4059
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Fax | 404-963-6221
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HASAN FAWAZ
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Credential | R.PH.
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Telephone | 404-281-3844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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