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General NPI Number Information
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NPI Number | 1558601500
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Entity Type | Individual
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Provider Name | TONY HWANGPO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 1600 7TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1711
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Country | US
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Telephone | 205-638-9716
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Fax |
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Provider Business Mailing Address
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Address Line | 419 RIVER OAKS LN
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City | HELENA
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State | AL
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Zip | 35080-8615
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Country | US
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Telephone | 205-563-3323
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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 | 15870
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License Number State | AL
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