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General NPI Number Information
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NPI Number | 1912749268
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Entity Type | Individual
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Provider Name | JENNY HOLLINGSWORTH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2024
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 35 COLLIER RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1613
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Country | US
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Telephone | 404-350-9772
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Fax |
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Provider Business Mailing Address
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Address Line | 2864 HILTON CIR NW
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City | KENNESAW
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State | GA
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Zip | 30152-5867
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Country | US
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Telephone | 770-880-0681
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | RPH035004
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License Number State | GA
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