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General NPI Number Information
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NPI Number | 1578767083
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Entity Type | Individual
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Provider Name | EDWARD CARTER GUICE PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2019 6TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-6500
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Country | US
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Telephone | 256-353-6303
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 CENTURY COURT SE
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City | DECATUR
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State | AL
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Zip | 35601
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Country | US
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Telephone | 256-350-3003
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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 | 13103
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License Number State | AL
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