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General NPI Number Information
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NPI Number | 1417131806
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Entity Type | Individual
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Provider Name | JAMES PAUL LAYNE R.PH.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 12/21/2007
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Provider Practice Location Address
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Address Line | 1009 MARTIN ST S
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City | PELL CITY
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State | AL
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Zip | 35128-2360
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Country | US
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Telephone | 205-884-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 712 TWIN BRANCH CIR
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City | BIRMINGHAM
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State | AL
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Zip | 35226-2468
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Country | US
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Telephone | 205-823-8621
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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 | 9222
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License Number State | AL
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