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General NPI Number Information
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NPI Number | 1750405619
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Entity Type | Individual
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Provider Name | WILLIAM CLARK MAGUIRE RPH
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Gender | Male
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Dates
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Enumeration Date | 03/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11175 CICERO DR SUITE 300
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City | ALPHARETTA
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State | GA
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Zip | 30022-1148
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Country | US
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Telephone | 770-663-1536
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Fax |
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Provider Business Mailing Address
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Address Line | 635 SUMMER GRASS LN
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City | ROSWELL
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State | GA
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Zip | 30075-7103
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Country | US
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Telephone | 770-755-5498
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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 | 022936
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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 | 18527
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2328
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License Number State | NH
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