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General NPI Number Information
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NPI Number | 1548557333
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Entity Type | Individual
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Provider Name | FRANK KEITH SANACORE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 13055 HIGHWAY 9 N
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City | MILTON
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State | GA
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Zip | 30004-5137
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Country | US
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Telephone | 770-225-1781
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Fax | 770-225-1791
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Provider Business Mailing Address
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Address Line | 13055 HIGHWAY 9 N
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City | MILTON
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State | GA
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Zip | 30004-5137
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Country | US
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Telephone | 770-225-1781
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Fax | 770-225-1791
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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 | 021164
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License Number State | GA
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