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General NPI Number Information
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NPI Number | 1003219171
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Entity Type | Individual
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Provider Name | STEVEN MATTHEW ATCHISON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 9515 VAUGHN RD
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City | PIKE ROAD
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State | AL
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Zip | 36064-2292
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Country | US
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Telephone | 334-777-5835
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Fax |
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Provider Business Mailing Address
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Address Line | 6621 WHIPPORWILL CT
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City | MONTGOMERY
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State | AL
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Zip | 36117-2425
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Country | US
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Telephone | 334-462-4163
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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 | 17926
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License Number State | AL
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