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General NPI Number Information
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NPI Number | 1396014312
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Entity Type | Individual
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Provider Name | GLENN MORGAN RPH
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Gender | Male
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 101 DOUG BAKER BLVD
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2675
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Country | US
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Telephone | 205-437-9467
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Fax |
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Provider Business Mailing Address
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Address Line | 8132 CASTLEHILL RD
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City | BIRMINGHAM
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State | AL
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Zip | 35242-7228
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Country | US
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Telephone | 205-995-0278
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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 | 15724
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH010165
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License Number State | GA
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