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General NPI Number Information
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NPI Number | 1669272571
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Entity Type | Organization
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Legal Business Name | CRESCENT SERVICES II LLC
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 80 FOOTHILLS PKWY
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City | MARBLE HILL
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State | GA
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Zip | 30148-2255
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Country | US
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Telephone | 770-893-3784
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Fax | 770-893-3600
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Provider Business Mailing Address
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Address Line | 80 FOOTHILLS PKWY
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City | MARBLE HILL
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State | GA
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Zip | 30148-2255
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Country | US
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Telephone | 770-893-3784
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Fax | 770-893-3600
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Authorized Official
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Title or Position | CEO / CO-OWNER
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Name | DR. JOHN THOMAS SHERRER JR.
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Credential | PHARM.D.
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Telephone | 404-317-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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