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General NPI Number Information
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NPI Number | 1922551357
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Entity Type | Individual
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Provider Name | MICA INGE KOLI R.PH. PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 6055 MILLWICK DR
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City | JOHNS CREEK
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State | GA
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Zip | 30005-6743
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Country | US
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Telephone | 678-620-9356
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Fax |
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Provider Business Mailing Address
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Address Line | 6055 MILLWICK DR
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City | JOHNS CREEK
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State | GA
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Zip | 30005-6743
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Country | US
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Telephone | 678-620-9356
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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 | RPH016505
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License Number State | GA
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