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General NPI Number Information
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NPI Number | 1982802054
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Entity Type | Individual
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Provider Name | AMANDA R PUGH PHARMD., RPH
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Gender | Female
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 04/20/2025
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Provider Practice Location Address
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Address Line | 80 CINEMA DR
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City | ELLIJAY
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State | GA
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Zip | 30540-2592
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Country | US
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Telephone | 706-635-6898
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Fax |
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Provider Business Mailing Address
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Address Line | 474 MORTON DR # 6787
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City | ELLIJAY
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State | GA
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Zip | 30540-4294
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Country | US
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Telephone | 678-637-1174
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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 | PS48406
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License Number State | FL
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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 | 023665
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License Number State | GA
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