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General NPI Number Information
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NPI Number | 1922361765
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Entity Type | Individual
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Provider Name | MARSHALL CURTIS
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Gender | Male
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 1520 LANEY WALKER BLVD
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City | AUGUSTA
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State | GA
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Zip | 30904-5868
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Country | US
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Telephone | 706-722-7355
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Fax | 706-722-5737
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Provider Business Mailing Address
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Address Line | 1520 LANEY WALKER BLVD
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City | AUGUSTA
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State | GA
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Zip | 30904-5868
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Country | US
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Telephone | 706-722-7355
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Fax | 706-722-5737
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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 | PHRE006386
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH009930
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License Number State | GA
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