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General NPI Number Information
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NPI Number | 1750928719
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Entity Type | Organization
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Legal Business Name | GOODSCRIPT, INC.
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Dates
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Enumeration Date | 12/09/2019
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 3115 ROSWELL RD STE 205
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City | MARIETTA
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State | GA
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Zip | 30062-7611
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Country | US
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Telephone | 678-469-5144
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Fax |
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Provider Business Mailing Address
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Address Line | 3115 ROSWELL RD STE 205
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City | MARIETTA
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State | GA
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Zip | 30062-7611
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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 | PRESIDENT/OWNER
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Name | ANGELIN E WALLACE
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Credential | RPH
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Telephone | 678-469-5144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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