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General NPI Number Information
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NPI Number | 1902530819
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Entity Type | Individual
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Provider Name | LAUREN BROOK THURMOND RPH
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Gender | Female
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 3870 N DRUID HILLS RD
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City | DECATUR
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State | GA
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Zip | 30033-3002
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Country | US
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Telephone | 404-638-1293
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Fax |
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Provider Business Mailing Address
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Address Line | 1556 NEW HOPE RD
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-6550
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Country | US
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Telephone | 678-997-1266
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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 | RPH-033749
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License Number State | GA
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