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General NPI Number Information
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NPI Number | 1265717847
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Entity Type | Individual
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Provider Name | SONJA HENLEY
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Gender | Female
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 8701 HIGHWAY 69 S
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City | TUSCALOOSA
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State | AL
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Zip | 35405-8465
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Country | US
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Telephone | 205-758-1684
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Fax | 205-758-9260
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Provider Business Mailing Address
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Address Line | 4537 SMITHFIELD DR
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City | NORTHPORT
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State | AL
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Zip | 35473-2469
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Country | US
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Telephone |
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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 | 14019
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License Number State | AL
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