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NPI 1568490035

NPI 1568490035 : JEAN P ROBBINS RPH : DECATUR, GA

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General NPI Number Information
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    NPI Number           |    1568490035
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    Entity Type          |    Individual 
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    Provider Name        |    JEAN P ROBBINS RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1670 CLAIRMONT RD VA MEDICAL CENTER 119
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    City                 |    DECATUR
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    State                |    GA
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    Zip                  |    30033-4004
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    Country              |    US
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    Telephone            |    404-321-6111
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    Fax                  |    404-327-4957
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Provider Business Mailing Address
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    Address Line         |    1315 KITTREDGE CT NE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30329-3539
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    Country              |    US
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    Telephone            |    404-636-7221
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    Fax                  |    404-633-0652
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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       |    RPH008148
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    License Number State |    GA
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