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General NPI Number Information
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NPI Number | 1255679221
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Entity Type | Individual
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Provider Name | JOSHUA UPCHURCH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 322 COX CREEK PKWY
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City | FLORENCE
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State | AL
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Zip | 35630-1540
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Country | US
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Telephone | 256-718-1795
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Fax |
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Provider Business Mailing Address
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Address Line | 708 JACKSON AVE N
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-1624
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Country | US
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Telephone | 256-460-0528
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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 | 17062
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 37153
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License Number State | TN
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