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General NPI Number Information
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NPI Number | 1922149889
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Entity Type | Organization
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Legal Business Name | C & B CORPORATION
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 98 JACKSON ST
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City | NEWNAN
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State | GA
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Zip | 30263-1939
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Country | US
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Telephone | 770-251-2322
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Fax | 770-252-9956
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Provider Business Mailing Address
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Address Line | 98 JACKSON ST
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City | NEWNAN
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State | GA
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Zip | 30263-1939
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Country | US
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Telephone | 770-251-2322
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Fax | 770-252-9956
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROBERT STITT
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Credential | RPH
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Telephone | 770-251-2322
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 005825
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License Number State | GA
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