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General NPI Number Information
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NPI Number | 1871876219
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Entity Type | Individual
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Provider Name | PATRICIA JEAN ROOKS R.PH.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2011
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 400 S LIBERTY ST
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City | WAYNESBORO
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State | GA
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Zip | 30830-1501
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Country | US
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Telephone | 706-437-7977
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Fax | 706-437-7983
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Provider Business Mailing Address
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Address Line | 8902 CLARKS MILL RD
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City | LOUISVILLE
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State | GA
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Zip | 30434-4204
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Country | US
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Telephone | 478-625-7511
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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 | RPH018514
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License Number State | GA
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