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General NPI Number Information
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NPI Number | 1578088977
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Entity Type | Individual
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Provider Name | DR. DANIEL GARRETT
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Gender | Male
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 08/07/2017
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Provider Practice Location Address
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Address Line | 785 CHICKAMAUGA AVE
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City | ROSSVILLE
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State | GA
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Zip | 30741-1404
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Country | US
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Telephone | 706-866-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 141 MONTICELLO CIR
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City | COOKEVILLE
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State | TN
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Zip | 38506-5580
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Country | US
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Telephone | 931-267-9006
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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 | RPH029789
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License Number State | GA
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