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General NPI Number Information
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NPI Number | 1447071337
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Entity Type | Individual
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Provider Name | ELIZABETH NAVARRETE GARCIA
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 111 E BARNARD ST
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City | GLENNVILLE
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State | GA
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Zip | 30427-1660
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Country | US
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Telephone | 912-654-2184
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Fax | 912-654-2212
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Provider Business Mailing Address
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Address Line | 107 GARCIA LN NE
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City | GLENNVILLE
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State | GA
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Zip | 30427-8664
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Country | US
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Telephone | 912-321-2938
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Fax | 912-654-2212
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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 | PHTC021999
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License Number State | GA
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