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General NPI Number Information
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NPI Number | 1184655102
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Entity Type | Individual
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Provider Name | CARA LYN LEOS PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 2000 PEPPERELL PARKWAY EAST ALABAMA MEDICAL CENTER
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City | OPELIKA
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State | AL
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Zip | 36801
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Country | US
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Telephone | 334-707-1271
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Fax |
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Provider Business Mailing Address
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Address Line | 433 STANFIELD DR
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City | AUBURN
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State | AL
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Zip | 36832-8104
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Country | US
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Telephone | 334-707-1271
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP00006585
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPH022948
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 15174
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License Number State | AL
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