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General NPI Number Information
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NPI Number | 1376188607
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Entity Type | Individual
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Provider Name | ALEXANDRA SPENCER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 655 FIELDSTOWN RD
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City | GARDENDALE
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State | AL
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Zip | 35071-2411
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Country | US
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Telephone | 205-608-4677
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 PLEASANT
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-1988
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Country | US
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Telephone | 256-366-8781
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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 | 21054
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License Number State | AL
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