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General NPI Number Information
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NPI Number | 1518581651
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Entity Type | Individual
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Provider Name | CHRISTOPHER BLANOTT PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 3050 FIVE FORKS TRICKUM RD SW
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City | LILBURN
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State | GA
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Zip | 30047-1810
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Country | US
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Telephone | 770-985-3720
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Fax | 770-985-6744
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Provider Business Mailing Address
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Address Line | 3050 FIVE FORKS TRICKUM RD SW
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City | LILBURN
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State | GA
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Zip | 30047-1810
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Country | US
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Telephone | 770-985-3720
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Fax | 770-985-6744
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH021294
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License Number State | GA
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