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General NPI Number Information
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NPI Number | 1891934261
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Entity Type | Individual
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Provider Name | GABRIEL RENARD MCLEMORE PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 02/09/2009
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Last Update Date | 02/09/2009
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Provider Practice Location Address
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Address Line | 60 8TH ST NE
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City | ATLANTA
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State | GA
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Zip | 30309-3959
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Country | US
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Telephone | 404-253-1243
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Fax | 404-253-1205
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Provider Business Mailing Address
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Address Line | 1204 ANDREWS DR
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-2449
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Country | US
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Telephone | 404-388-7156
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Fax | 404-253-1205
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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 | RPH023322
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License Number State | GA
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