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General NPI Number Information
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NPI Number | 1477076875
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Entity Type | Individual
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Provider Name | CHARIS HOPE RUDESEAL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 07/18/2017
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Provider Practice Location Address
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Address Line | 633 N MAIN ST
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City | CEDARTOWN
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State | GA
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Zip | 30125-2359
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Country | US
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Telephone | 770-748-5030
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Fax |
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Provider Business Mailing Address
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Address Line | 707 W 2ND ST APT 1
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City | ROME
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State | GA
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Zip | 30161-2973
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Country | US
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Telephone | 770-846-0202
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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 | RPH029888
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License Number State | GA
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