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General NPI Number Information
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NPI Number | 1649422718
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Entity Type | Individual
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Provider Name | CHAD M POTTS PHARMD,RPH
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Gender | Male
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 15 N DIVISION ST NW
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City | ROME
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State | GA
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Zip | 30165-2327
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Country | US
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Telephone | 706-235-5591
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Fax | 706-232-3214
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Provider Business Mailing Address
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Address Line | 36 SHORELINE DR NW
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City | ROME
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State | GA
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Zip | 30165-1085
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Country | US
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Telephone | 706-346-1854
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Fax | 706-232-3214
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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 | RPH024239
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License Number State | GA
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