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General NPI Number Information
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NPI Number | 1245885136
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Entity Type | Individual
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Provider Name | EMILY MAUGHON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 3014 ALLISON BONNETT MEMORIAL DR STE 130
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City | HUEYTOWN
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State | AL
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Zip | 35023-2395
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Country | US
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Telephone | 205-497-5372
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Fax |
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Provider Business Mailing Address
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Address Line | 412 PARK RD
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City | PLEASANT GROVE
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State | AL
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Zip | 35127-1859
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Country | US
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Telephone | 205-260-7662
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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 | 21104
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License Number State | AL
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