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General NPI Number Information
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NPI Number | 1366828055
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Entity Type | Organization
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Legal Business Name | SAMFORD UNIVERSITY
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 800 LAKESHORE DRIVE
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City | BIRMINGHAM
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State | AL
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Zip | 35229
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Country | US
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Telephone | 205-726-2635
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 6TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1502
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Country | US
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Telephone | 209-930-1153
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | HANNA SUNG
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Credential | PHARM.D.
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Telephone | 714-618-1890
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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 | 18866
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License Number State | AL
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