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General NPI Number Information
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NPI Number | 1558968909
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Entity Type | Individual
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Provider Name | JOSEPH W DRAKE III PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 10710 CHANTILLY PKWY
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City | MONTGOMERY
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State | AL
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Zip | 36117-7587
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Country | US
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Telephone | 334-272-7114
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Fax |
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Provider Business Mailing Address
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Address Line | 4124 CREEKVIEW CT
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City | AUBURN
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State | AL
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Zip | 36832-7838
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Country | US
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Telephone | 334-714-0235
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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 | 17764
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License Number State | AL
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