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NPI 1083757736

NPI 1083757736 : ALLAN I. MORRIS RPH : ATTALLA, AL

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General NPI Number Information
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    NPI Number           |    1083757736
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    Entity Type          |    Individual 
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    Provider Name        |    ALLAN I. MORRIS RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/14/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    102 JD SMITH DR 
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    City                 |    ATTALLA
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    State                |    AL
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    Zip                  |    35954-3350
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    Country              |    US
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    Telephone            |    256-538-5697
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    Fax                  |    256-538-0239
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Provider Business Mailing Address
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    Address Line         |    306 W HARTWOOD DR 
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    City                 |    RAINBOW CITY
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    State                |    AL
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    Zip                  |    35906-6221
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    Country              |    US
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    Telephone            |    256-442-5693
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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       |    6571
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    License Number State |    AL
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