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General NPI Number Information
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NPI Number | 1851411292
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Entity Type | Individual
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Provider Name | CASSANDRA LYNELL NEUBAUER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2975 LAWRENCEVILLE HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-4319
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Country | US
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Telephone | 770-925-9500
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Fax | 770-935-8351
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Provider Business Mailing Address
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Address Line | 1835 TERRACE LAKE DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-6910
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Country | US
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Telephone | 678-407-1039
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Fax | 770-935-8351
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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 | 022326
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License Number State | GA
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