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General NPI Number Information
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NPI Number | 1861807893
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Entity Type | Individual
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Provider Name | CHRISTINA DIXON SORENSEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2014
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 7780 MCGINNIS FERRY RD
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City | SUWANEE
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State | GA
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Zip | 30024-1622
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Country | US
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Telephone | 205-980-7511
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 SCALES RD 4203
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City | SUWANEE
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State | GA
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Zip | 30024-1822
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Country | US
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Telephone | 256-508-7575
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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 | 17728
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License Number State | AL
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