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General NPI Number Information
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NPI Number | 1528495660
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Entity Type | Organization
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Legal Business Name | NATIONAL PRESCRIPTION
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 2107 N DECATUR RD STE 190
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City | DECATUR
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State | GA
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Zip | 30033-5305
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Country | US
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Telephone | 888-317-0851
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Fax | 888-317-0851
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Provider Business Mailing Address
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Address Line | 2107 N DECATUR RD SUITE 190
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City | DECATUR
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State | GA
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Zip | 30033
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Country | US
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Telephone | 888-317-0851
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Fax | 888-317-0851
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Authorized Official
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Title or Position | COO
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Name | PATRICK C ROSS
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Credential | MD
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Telephone | 888-317-0851
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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 | NBNA09810
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License Number State | GA
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