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NPI 1427183888

NPI 1427183888 : CHRISTOPHER MICHAEL POPE PHARMD. : BRUNSWICK, GA

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General NPI Number Information
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    NPI Number           |    1427183888
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER MICHAEL POPE PHARMD.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/23/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1402 NEWCASTLE ST 
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    City                 |    BRUNSWICK
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    State                |    GA
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    Zip                  |    31520-7018
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    Country              |    US
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    Telephone            |    912-265-7630
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    Fax                  |    912-262-1123
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Provider Business Mailing Address
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    Address Line         |    104 MUSGROVE PL 
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    City                 |    ST SIMONS ISLAND
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    State                |    GA
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    Zip                  |    31522-5339
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    Country              |    US
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    Telephone            |    912-634-5924
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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       |    021330
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    License Number State |    GA
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