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General NPI Number Information
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NPI Number | 1275081382
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Entity Type | Individual
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Provider Name | JAMIE WILSON PHARM D
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Gender | Male
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Dates
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Enumeration Date | 09/18/2016
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Last Update Date | 09/18/2016
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Provider Practice Location Address
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Address Line | 312 PALISADES BLVD
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City | BIRMINGHAM
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State | AL
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Zip | 35209-5148
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Country | US
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Telephone | 205-870-7170
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Fax | 205-870-7866
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Provider Business Mailing Address
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Address Line | 224 WOODRIDGE DR
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City | PELHAM
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State | AL
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Zip | 35124-2475
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Country | US
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Telephone | 205-222-9860
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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 | 15236
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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 | 010053
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13997
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 58059
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS42136
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License Number State | FL
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