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General NPI Number Information
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NPI Number | 1578354882
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Entity Type | Organization
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Legal Business Name | THE CORPORATION OF MERCER UNIVERSITY
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 750 HAZEL STREET
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City | MACON
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State | GA
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Zip | 31201
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Country | US
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Telephone | 478-334-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 COLLEGE STREET MUSM DEAN'S SUITE
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City | MACON
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State | GA
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Zip | 31207
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Country | US
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Telephone | 478-301-4070
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Fax |
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Authorized Official
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Title or Position | EXEC. VICE PRESIDENT FOR ADMINSITRA
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Name | DR. JAMES NETHERTON
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Credential |
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Telephone | 478-301-2710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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