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General NPI Number Information
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NPI Number | 1457653271
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Entity Type | Organization
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Legal Business Name | JUST US ENTERPRISES
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Dates
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Enumeration Date | 11/30/2010
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 108 MERCHANTS SQUARE DR #120
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City | CARTERSVILLE
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State | GA
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Zip | 30121-2258
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Country | US
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Telephone | 770-684-8414
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Fax | 770-334-2114
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Provider Business Mailing Address
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Address Line | 2096 HILLS CREEK RD
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City | TAYLORSVILLE
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State | GA
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Zip | 30178-2039
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Country | US
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Telephone | 404-444-6657
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONALD ANDERSON
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Credential |
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Telephone | 404-444-6657
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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 | PHRE009712
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License Number State | GA
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