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General NPI Number Information
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NPI Number | 1922216399
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Entity Type | Individual
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Provider Name | MELISSA MORGAN O'FERRALL RPH
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1710 CLEVELAND HWY
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City | DALTON
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State | GA
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Zip | 30721-8313
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Country | US
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Telephone | 706-259-9787
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Fax |
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Provider Business Mailing Address
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Address Line | 173 GATEWAY DR
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City | ROCKY FACE
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State | GA
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Zip | 30740-8946
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Country | US
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Telephone | 706-226-0098
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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 | RPH017771
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License Number State | GA
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