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General NPI Number Information
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NPI Number | 1669076345
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Entity Type | Individual
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Provider Name | MATTIE JACKSON
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Gender | Female
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 650 MANNING WILLIAMS RD
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City | BAXLEY
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State | GA
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Zip | 31513-7431
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Country | US
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Telephone | 912-286-4739
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Fax |
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Provider Business Mailing Address
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Address Line | 19 E PARKER ST
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City | BAXLEY
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State | GA
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Zip | 31513-0056
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Country | US
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Telephone |
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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 | RPH014330
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License Number State | GA
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