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General NPI Number Information
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NPI Number | 1225718760
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Entity Type | Individual
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Provider Name | ABIGAYLE FAITH BRODIE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 07/29/2023
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Provider Practice Location Address
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Address Line | 2473 HACKWORTH RD
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City | BIRMINGHAM
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State | AL
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Zip | 35214-1909
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Country | US
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Telephone | 205-798-9619
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Fax |
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Provider Business Mailing Address
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Address Line | 5112 HIGHLAND AVE
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City | ADAMSVILLE
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State | AL
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Zip | 35005-1229
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Country | US
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Telephone | 205-902-1523
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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 | 23093
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License Number State | AL
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