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General NPI Number Information
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NPI Number | 1932527272
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Entity Type | Individual
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Provider Name | KAREN WYMAN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 2900 DELK RD SE STE 1150
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City | MARIETTA
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State | GA
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Zip | 30067-5320
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Country | US
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Telephone | 770-933-2895
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Fax |
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Provider Business Mailing Address
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Address Line | 2449 TALL TIMBERS TRL
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City | MARIETTA
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State | GA
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Zip | 30066-2177
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Country | US
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Telephone | 802-238-5888
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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 | RPH030647
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License Number State | GA
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