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General NPI Number Information
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NPI Number | 1407479827
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Entity Type | Individual
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Provider Name | ARVIN SALMASI PHARM.D. STUDENT
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Gender | Male
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 700 HIGHWAY 29 N
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City | ATHENS
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State | GA
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Zip | 30601-1544
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Country | US
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Telephone | 706-715-3738
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Fax |
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Provider Business Mailing Address
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Address Line | 3481 SHERIDAN CHASE SE
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City | MARIETTA
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State | GA
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Zip | 30067-4337
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Country | US
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Telephone | 404-556-5034
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | PHI-019843
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License Number State | GA
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