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General NPI Number Information
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NPI Number | 1508800772
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Entity Type | Individual
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Provider Name | MINA SALAFRANCA WILLIS
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 4100 GOSS RD SW
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City | HUNTSVILLE
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State | AL
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Zip | 35809-0001
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Country | US
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Telephone | 256-955-8888
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Fax | 256-955-0189
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Provider Business Mailing Address
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Address Line | 4100 GOSS ROAD
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City | REDSTONE ARSENAL
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State | AL
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Zip | 35809-7000
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Country | US
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Telephone | 256-955-8888
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9101727
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License Number State | FL
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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 | PS35862
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110002299
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS35862
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PS35862
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS35862
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202207364
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License Number State | VA
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