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General NPI Number Information
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NPI Number | 1558928929
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Entity Type | Individual
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Provider Name | BRANDON CHATFIELD PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 05/21/2019
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Provider Practice Location Address
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Address Line | 6945 NASHVILLE ST
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City | RINGGOLD
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State | GA
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Zip | 30736-2419
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Country | US
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Telephone | 706-935-9861
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Fax |
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Provider Business Mailing Address
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Address Line | 11940 WAXWING PL
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City | APISON
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State | TN
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Zip | 37302-1400
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Country | US
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Telephone | 423-260-5433
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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 | RPH030998
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 42187
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License Number State | TN
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