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General NPI Number Information
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NPI Number | 1518043207
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Entity Type | Individual
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Provider Name | GERALD YOUNG STANLEY RPH
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 206 E BROAD ST
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City | EUFAULA
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State | AL
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Zip | 36027-1608
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Country | US
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Telephone | 334-687-3537
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Fax | 334-687-4371
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Provider Business Mailing Address
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Address Line | 103 RIDGEWOOD LN
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City | EUFAULA
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State | AL
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Zip | 36027-1307
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Country | US
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Telephone | 334-687-6503
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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 | 6887
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License Number State | AL
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