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NPI 1114028974

NPI 1114028974 : DANNY D HOLDER RPH : BIRMINGHAM, AL

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General NPI Number Information
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    NPI Number           |    1114028974
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    Entity Type          |    Individual 
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    Provider Name        |    DANNY D HOLDER RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/26/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    700 S 19TH STREET 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35233
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    Country              |    US
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    Telephone            |    206-933-8101
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    Fax                  |    205-558-4784
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Provider Business Mailing Address
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    Address Line         |    2037 CAHABA CREST DRIVE 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35242-2416
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    Country              |    US
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    Telephone            |    205-991-8089
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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       |    11643
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    License Number State |    AL
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