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General NPI Number Information
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NPI Number | 1912230459
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Entity Type | Individual
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Provider Name | PAMELA RENEE WILLIAMSON RPH
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Gender | Female
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 2 WEST MAIN STREET
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City | CLAXTON
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State | GA
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Zip | 30417-3041
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Country | US
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Telephone | 912-739-0406
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Fax |
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Provider Business Mailing Address
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Address Line | 2 W MAIN ST
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City | CLAXTON
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State | GA
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Zip | 30417
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Country | US
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Telephone | 912-739-0406
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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 | 015634
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 015634
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License Number State | GA
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