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General NPI Number Information
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NPI Number | 1588704431
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Entity Type | Individual
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Provider Name | JOAN SHERMAN WELLS RPH
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1800 10TH AVE
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City | COLUMBUS
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State | GA
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Zip | 31901-1513
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Country | US
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Telephone | 706-571-1996
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Fax | 706-571-1781
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Provider Business Mailing Address
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Address Line | 213 COCA WAY
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City | CATAULA
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State | GA
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Zip | 31804-4426
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Country | US
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Telephone | 706-571-1996
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Fax | 706-571-1781
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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 | 15533
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License Number State | GA
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