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General NPI Number Information
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NPI Number | 1487478715
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ALABAMA AT BIRMINGHAM
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 601 19TH ST S 4TH FLOOR QT
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City | BIRMINGHAM
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State | AL
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Zip | 35249-0001
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Country | US
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Telephone | 205-934-2661
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Fax | 205-975-2562
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Provider Business Mailing Address
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Address Line | 601 19TH ST S 4TH FLOOR QT
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City | BIRMINGHAM
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State | AL
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Zip | 35249-0001
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Country | US
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Telephone | 205-934-2661
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Fax |
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Authorized Official
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Title or Position | CHIEF PHARMACY OFFICER
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Name | JENNIFER PETERSON
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Credential |
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Telephone | 205-934-7862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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