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General NPI Number Information
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NPI Number | 1396324794
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Entity Type | Individual
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Provider Name | WANGUI CHIURI PHARM D.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 200 TECHNOLOGY CT SE STE B
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City | SMYRNA
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State | GA
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Zip | 30082-5201
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Country | US
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Telephone | 678-981-4074
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Fax |
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Provider Business Mailing Address
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Address Line | 505 SPRING HEIGHTS LN SE
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City | SMYRNA
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State | GA
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Zip | 30080-6102
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Country | US
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Telephone | 954-864-2421
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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 | RPH024402
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License Number State | GA
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