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General NPI Number Information
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NPI Number | 1497096184
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Entity Type | Organization
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Legal Business Name | NELMS HEALTHCARE LLC
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 115 WATTERSON PKWY STE 105
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City | TRUSSVILLE
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State | AL
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Zip | 35173-2455
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Country | US
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Telephone | 205-655-6133
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Fax | 205-655-6135
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Provider Business Mailing Address
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Address Line | 115 WATTERSON PKWY STE 105
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City | TRUSSVILLE
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State | AL
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Zip | 35173-2455
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Country | US
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Telephone | 205-655-6133
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | DR. WILLIAM CHACE NELMS
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Credential | PHARM.D.
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Telephone | 205-451-3801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 114055
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License Number State | AL
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