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General NPI Number Information
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NPI Number | 1306451299
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Entity Type | Individual
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Provider Name | ASHTON HALEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 2731 MARTIN LUTHER KING BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35401-5235
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Country | US
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Telephone | 205-347-1197
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 SUMMER RIDGE DR
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City | HOOVER
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State | AL
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Zip | 35226-1585
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Country | US
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Telephone | 205-441-4862
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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 | 21120
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License Number State | AL
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