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General NPI Number Information
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NPI Number | 1366046302
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Entity Type | Individual
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Provider Name | CIARA DANIELLE THOMAS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 410 BATTLE ST E
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City | TALLADEGA
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State | AL
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Zip | 35160-2498
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Country | US
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Telephone | 256-362-0163
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Fax |
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Provider Business Mailing Address
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Address Line | 1914 SHELLBROOK DR NW
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City | HUNTSVILLE
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State | AL
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Zip | 35806-3410
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Country | US
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Telephone | 256-714-2437
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 21650
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License Number State | AL
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