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General NPI Number Information
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NPI Number | 1245580893
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Entity Type | Individual
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Provider Name | CAROL WHITE JUSTICE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 2629 CALUMET DR SE
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City | BROWNSBORO
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State | AL
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Zip | 35741-9379
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Country | US
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Telephone | 615-946-7286
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Fax |
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Provider Business Mailing Address
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Address Line | 2629 CALUMET DR SE
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City | BROWNSBORO
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State | AL
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Zip | 35741-9379
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Country | US
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Telephone | 615-946-7286
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Fax | 615-591-1102
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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 | 33608
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License Number State | TN
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