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General NPI Number Information
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NPI Number | 1588162580
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Entity Type | Individual
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Provider Name | JAMES W DUKE JR. PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 90F GLENDA TRCE STE 321
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City | NEWNAN
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State | GA
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Zip | 30265-3858
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Country | US
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Telephone | 404-664-7054
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Fax |
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Provider Business Mailing Address
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Address Line | 90F GLENDA TRCE STE 321
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City | NEWNAN
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State | GA
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Zip | 30265-3858
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Country | US
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Telephone | 404-664-7054
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 37128
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License Number State | TN
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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 | 16696
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 20038
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License Number State | GA
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