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General NPI Number Information
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NPI Number | 1396175345
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Entity Type | Organization
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Legal Business Name | ALLCARE PC
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 115 SPRING ST
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City | MOUNT VERNON
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State | GA
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Zip | 30445
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Country | US
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Telephone | 912-583-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 112 S OXLEY DR
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City | LYONS
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State | GA
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Zip | 30436-5645
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Country | US
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Telephone | 912-526-3200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT DRIGGERS
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Credential |
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Telephone | 912-526-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE009969
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License Number State | GA
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