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General NPI Number Information
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NPI Number | 1871586339
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Entity Type | Individual
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Provider Name | DARLENE HURST R.PH.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 1365-C CLIFTON RD NE WINSHIP INFUSION PHARMACY
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-4562
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Fax | 404-778-4571
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Provider Business Mailing Address
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Address Line | 4143 DIVOT WAY
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City | DULUTH
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State | GA
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Zip | 30097-8190
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Country | US
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Telephone | 678-472-6074
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Fax | 404-778-4571
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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 | 31899
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License Number State | TX
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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 | 20170
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License Number State | GA
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