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General NPI Number Information
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NPI Number | 1255656112
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Entity Type | Individual
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Provider Name | DEBBIE KILGORE YERBY RPH
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Gender | Female
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 1716 TEMPLE AVENUE NORTH
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City | FAYETTE
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State | AL
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Zip | 35555
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Country | US
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Telephone | 205-932-1752
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 13TH ST NW
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City | FAYETTE
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State | AL
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Zip | 35555-1403
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Country | US
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Telephone | 205-932-7744
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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 | 3336C00003X
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License Number State | AL
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