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General NPI Number Information
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NPI Number | 1467590646
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Entity Type | Individual
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Provider Name | FREDERICK C GURLEY RPH
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 86 N PUBLIC SQ
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City | JEFFERSON
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State | GA
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Zip | 30549-1084
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Country | US
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Telephone | 706-367-5252
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Fax | 706-367-2283
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Provider Business Mailing Address
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Address Line | 864 STOREY PORTER RD
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City | JEFFERSON
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State | GA
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Zip | 30549-2628
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Country | US
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Telephone | 706-367-9391
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Fax | 706-367-2283
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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 | 13080
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License Number State | GA
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