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General NPI Number Information
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NPI Number | 1427045376
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Entity Type | Individual
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Provider Name | MELISSA FRANCES SANACORE PHARMD, BCOP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL - DEPARTMENT OF PHARMACY
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City | ATLANTA
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State | GA
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Zip | 30342-1606
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Country | US
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Telephone | 404-845-5604
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Fax |
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Provider Business Mailing Address
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Address Line | 3820 ADAMS RD
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City | CUMMING
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State | GA
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Zip | 30041-4650
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Country | US
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Telephone | 770-263-9514
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPH019379
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License Number State | GA
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