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General NPI Number Information
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NPI Number | 1720072119
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Entity Type | Individual
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Provider Name | GEORGE JOSEPH SIFFRI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 1200 NORTHSIDE FORSYTH DR PHARMACY DEPARTMENT
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City | CUMMING
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State | GA
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Zip | 30041-7659
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Country | US
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Telephone | 770-844-3290
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Fax | 770-844-3424
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Provider Business Mailing Address
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Address Line | 50 MOUNT WHITNEY PL
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City | JOHNS CREEK
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State | GA
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Zip | 30022-5441
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Country | US
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Telephone | 404-434-3968
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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 | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | RPH011942
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH011942
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License Number State | GA
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