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General NPI Number Information
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NPI Number | 1437221165
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Entity Type | Organization
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Legal Business Name | THE PRESCRIPTION SHOPPE
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 302 INDUSTRIAL BLVD
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City | DUBLIN
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State | GA
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Zip | 31021-2800
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Country | US
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Telephone | 478-275-7400
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Fax | 478-274-0053
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Provider Business Mailing Address
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Address Line | 302 INDUSTRIAL BLVD
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City | DUBLIN
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State | GA
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Zip | 31021-2800
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Country | US
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Telephone | 478-275-7400
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Fax | 478-274-0053
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JACKI L BEDINGFIELD
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Credential |
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Telephone | 478-275-7400
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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 | 7050
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License Number State | GA
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