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General NPI Number Information
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NPI Number | 1053404723
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Entity Type | Organization
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Legal Business Name | AUBURN UNIVERSITY
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 CENTERVIEW DRIVE SUITE 210
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City | BIRMINGHAM
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State | AL
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Zip | 35209
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Country | US
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Telephone | 205-978-9022
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CENTERVIEW DRIVE SUITE 210
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City | BIRMINGHAM
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State | AL
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Zip | 35209
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Country | US
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Telephone | 205-978-9022
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Fax |
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Authorized Official
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Title or Position | DEAN AND PROFESSOR
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Name | DR. ROSWELL LEE EVANS
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Credential | PHARM. D., BCPP
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Telephone | 334-844-8348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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