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General NPI Number Information
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NPI Number | 1740459205
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Entity Type | Individual
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Provider Name | TERESA MCVEIGH RPH
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Gender | Female
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 805 HEARD AVE
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City | AUGUSTA
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State | GA
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Zip | 30904-4205
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Country | US
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Telephone | 706-736-4615
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Fax |
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Provider Business Mailing Address
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Address Line | 805 HEARD AVE
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City | AUGUSTA
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State | GA
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Zip | 30904-4205
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Country | US
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Telephone | 706-736-4615
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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 | 13064
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License Number State | LA
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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 | RPH010758
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License Number State | GA
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