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General NPI Number Information
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NPI Number | 1932532918
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Entity Type | Individual
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Provider Name | SHERYL P CANNINGTON R. PH.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 409 W 3RD ST
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City | DONALSONVILLE
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State | GA
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Zip | 39845-1511
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Country | US
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Telephone | 229-524-2596
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Fax |
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Provider Business Mailing Address
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Address Line | 2490 CANNINGTON RD
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City | IRON CITY
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State | GA
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Zip | 39859-3615
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Country | US
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Telephone | 229-774-2532
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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 | 11156
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License Number State | GA
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