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General NPI Number Information
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NPI Number | 1003699539
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Entity Type | Individual
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Provider Name | ABIGAIL WHITAKER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 4715 RICE MINE RD NE
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2648
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Country | US
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Telephone | 205-345-3455
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Fax |
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Provider Business Mailing Address
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Address Line | 2853 30TH ST
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City | NORTHPORT
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State | AL
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Zip | 35476-5210
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Country | US
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Telephone | 276-207-7952
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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 | PS65986
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License Number State | FL
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