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General NPI Number Information
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NPI Number | 1598889511
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Entity Type | Individual
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Provider Name | JENNY RUTH LAYSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 803 S MAIN ST
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City | GREENSBORO
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State | GA
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Zip | 30642-1211
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Country | US
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Telephone | 706-454-5150
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Fax | 706-454-5151
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Provider Business Mailing Address
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Address Line | 1040 BIG WATER CIR
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City | GREENSBORO
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State | GA
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Zip | 30642-3710
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Country | US
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Telephone | 770-468-9153
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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 | RPH023249
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License Number State | GA
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