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General NPI Number Information
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NPI Number | 1457643983
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Entity Type | Individual
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Provider Name | THOMAS HUGH PINAUD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 800 GLYNN ST N
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7360
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Country | US
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Telephone | 770-461-1241
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Fax | 770-461-1748
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Provider Business Mailing Address
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Address Line | 185 BERRY HILL LN
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City | TYRONE
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State | GA
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Zip | 30290-1696
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Country | US
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Telephone | 770-486-1099
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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 | RPH016164
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License Number State | GA
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