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General NPI Number Information
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NPI Number | 1902940265
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Entity Type | Individual
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Provider Name | DINA SALMAN HARLEY PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 777 HEMLOCK ST DEPARTMENT OF PHARMACY #113
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City | MACON
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State | GA
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Zip | 31201-2102
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Country | US
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Telephone | 478-633-1440
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Fax |
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Provider Business Mailing Address
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Address Line | 405 AMBERLY CT
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City | MACON
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State | GA
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Zip | 31210-7528
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Country | US
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Telephone |
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPH021061
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License Number State | GA
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