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General NPI Number Information
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NPI Number | 1700551181
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Entity Type | Individual
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Provider Name | ZHENNI REN
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Gender | Female
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 319 S BROAD ST
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City | MONROE
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State | GA
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Zip | 30655-2119
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Country | US
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Telephone | 770-266-6061
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Fax |
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Provider Business Mailing Address
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Address Line | 1891 BRIARCLIFF CIR NE APT D
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City | ATLANTA
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State | GA
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Zip | 30329-7707
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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 | RPH033139
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License Number State | GA
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