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General NPI Number Information
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NPI Number | 1356510499
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Entity Type | Organization
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Legal Business Name | HOSPISCRIPT SERVICES LLC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 1460 ANN ST
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City | MONTGOMERY
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State | AL
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Zip | 36107-3103
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Country | US
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Telephone | 334-956-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 2124 WALBASH DR
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City | MONTGOMERY
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State | AL
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Zip | 36116-1365
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Country | US
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Telephone | 334-244-1326
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Fax | 334-395-6164
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Authorized Official
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Title or Position | VP CLINICAL SERVICES
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Name | DR. JOHN P REDDEN
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Credential | PHARMD
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Telephone | 334-956-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 7062
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 7062
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License Number State | AL
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