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General NPI Number Information
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NPI Number | 1396544664
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Entity Type | Individual
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Provider Name | CHANTE FLETCHER RPH
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 4080 BLOOMFIELD RD
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City | MACON
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State | GA
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Zip | 31206-3643
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Country | US
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Telephone | 478-781-4018
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Fax |
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Provider Business Mailing Address
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Address Line | 201 PINCOURT LOOP
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City | GRIFFIN
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State | GA
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Zip | 30223-8716
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Country | US
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Telephone | 404-821-7124
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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 | RPH035383
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License Number State | GA
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