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General NPI Number Information
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NPI Number | 1932373735
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Entity Type | Individual
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Provider Name | MR. GEORGE R. BOLLING
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Gender | Male
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 145 STATE HWY. 253 SUITE C
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City | WINFIELD
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State | AL
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Zip | 35594
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Country | US
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Telephone | 205-487-4199
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 369
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City | WINFIELD
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State | AL
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Zip | 35594-0369
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Country | US
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Telephone | 205-487-4199
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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 | 10904
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License Number State | AL
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