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General NPI Number Information
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NPI Number | 1346850914
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Entity Type | Individual
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Provider Name | JAMES EDWIN UNDERWOOD JR. PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 411 CAHABA RIVER EST
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City | HOOVER
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State | AL
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Zip | 35244-4431
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Country | US
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Telephone | 205-249-9040
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Fax |
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Provider Business Mailing Address
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Address Line | 411 CAHABA RIVER EST
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City | HOOVER
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State | AL
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Zip | 35244-4431
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Country | US
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Telephone | 205-249-9040
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 8304
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 12367
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License Number State | AL
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