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General NPI Number Information
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NPI Number | 1790010759
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Entity Type | Individual
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Provider Name | DIMARIS FIGUEROA PHARM. D,
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Gender | Female
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 616 19TH ST
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City | COLUMBUS
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State | GA
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Zip | 31901-1528
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Country | US
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Telephone | 706-494-4712
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Fax |
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Provider Business Mailing Address
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Address Line | 11 ISAAC DR
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City | PHENIX CITY
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State | AL
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Zip | 36869-3483
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Country | US
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Telephone | 706-332-1591
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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 | PS45467
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License Number State | FL
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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 | RPH025222
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License Number State | GA
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