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General NPI Number Information
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NPI Number | 1568895902
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Entity Type | Individual
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Provider Name | MR. DONALD J HANCOCK
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Gender | Male
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 1331 GREEN STREET
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City | WARNER ROBINS
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State | GA
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Zip | 31093
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Country | US
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Telephone | 478-922-7562
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Fax | 478-929-5672
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Provider Business Mailing Address
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Address Line | 102 PLATEAU DRIVE
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City | WARNER ROBINS
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State | GA
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Zip | 31093
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Country | US
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Telephone | 478-284-6023
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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 | RPH014981
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License Number State | GA
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