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General NPI Number Information
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NPI Number | 1285942144
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Entity Type | Individual
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Provider Name | DAVID ALLEN CARROLL DOCTOR OF PHARMACY
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Gender | Male
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 835 PICKWICK STREET
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City | SAVANNAH
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State | TN
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Zip | 38372
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Country | US
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Telephone | 731-925-5551
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Fax | 731-925-5724
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Provider Business Mailing Address
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Address Line | 835 PICKWICK STREET
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City | SAVANNAH
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State | TN
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Zip | 38372
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Country | US
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Telephone | 731-925-5551
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Fax | 731-925-5724
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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 | 33088
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License Number State | TN
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