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General NPI Number Information
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NPI Number | 1720299985
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Entity Type | Individual
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Provider Name | GINA STORY SIMS R.PH
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Gender | Female
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Dates
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Enumeration Date | 05/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 705 17TH ST SUITE 100
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City | COLUMBUS
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State | GA
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Zip | 31901-3500
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Country | US
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Telephone | 706-660-2555
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Fax | 706-660-2498
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Provider Business Mailing Address
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Address Line | 2508 11TH CT SW
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City | LANETT
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State | AL
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Zip | 36863-3326
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Country | US
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Telephone | 334-576-9697
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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 | RPH018047
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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 | 12828
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License Number State | AL
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