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General NPI Number Information
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NPI Number | 1396781753
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Entity Type | Organization
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Legal Business Name | NEWNAN HOSPITAL
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 80 JACKSON ST
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City | NEWNAN
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State | GA
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Zip | 30263-1941
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Country | US
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Telephone | 770-253-2330
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Fax | 770-254-3652
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Provider Business Mailing Address
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Address Line | PO BOX 997
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City | NEWNAN
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State | GA
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Zip | 30264-0997
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Country | US
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Telephone | 770-252-7505
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Fax | 770-254-3652
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Authorized Official
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Title or Position | PHARMACY DIR
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Name | WILLIAM LAM
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Credential | PHARM D
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Telephone | 770-304-4069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 007932
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License Number State | GA
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