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General NPI Number Information
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NPI Number | 1699946251
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Entity Type | Organization
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Legal Business Name | WASHINGTON COUNTY REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 610 SPARTA RD
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City | SANDERSVILLE
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State | GA
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Zip | 31082-1860
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Country | US
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Telephone | 478-240-2310
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Fax | 478-240-2024
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Provider Business Mailing Address
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Address Line | 610 SPARTA RD
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City | SANDERSVILLE
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State | GA
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Zip | 31082-1860
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Country | US
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Telephone | 478-240-2310
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Fax | 478-240-2024
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Authorized Official
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Title or Position | CFO
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Name | CYNTHIA PARKER
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Credential |
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Telephone | 478-240-2102
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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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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | PHRE007212
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License Number State | GA
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