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General NPI Number Information
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NPI Number | 1548109887
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Entity Type | Individual
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Provider Name | ROBIN LYNN SOUTHWOOD PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 250 W GREEN ST OFC 270-C
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City | ATHENS
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State | GA
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Zip | 30602-5036
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Country | US
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Telephone | 706-542-0126
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Fax | 706-542-5228
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Provider Business Mailing Address
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Address Line | 1041 ROBERTA DR
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City | BISHOP
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State | GA
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Zip | 30621-7308
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Country | US
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Telephone | 706-542-0126
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Fax | 706-542-5228
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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 | 26015246A
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License Number State | IN
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