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General NPI Number Information
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NPI Number | 1366877912
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Entity Type | Individual
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Provider Name | KATHRYN CLAIRE MCCARTHY
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Gender | Female
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 594 SIGMAN RD NE STE 200
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City | CONYERS
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State | GA
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Zip | 30013-1365
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Country | US
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Telephone | 912-655-7769
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Fax |
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Provider Business Mailing Address
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Address Line | 107 CAPTAIN JOHNS DR
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City | SAVANNAH
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State | GA
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Zip | 31410-5133
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Country | US
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Telephone | 912-655-7769
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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 | RPH027457
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License Number State | GA
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