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General NPI Number Information
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NPI Number | 1467462176
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Entity Type | Individual
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Provider Name | JEFFREY FRED COX SR. PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 300 2ND AVE SE
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City | CAIRO
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State | GA
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Zip | 39828-2726
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Country | US
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Telephone | 229-377-9017
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Fax | 229-377-3994
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Provider Business Mailing Address
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Address Line | 300 2ND AVE SE
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City | CAIRO
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State | GA
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Zip | 39828-2726
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Country | US
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Telephone | 229-377-9017
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Fax | 229-377-3994
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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 | 011909
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH011909
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License Number State | GA
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