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General NPI Number Information
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NPI Number | 1588285282
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Entity Type | Individual
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Provider Name | ALEXANDER BEASLEY CPHT
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Gender | Male
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 209 LAKESHORE PKWY
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City | HOMEWOOD
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State | AL
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Zip | 35209-7105
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Country | US
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Telephone | 205-942-0977
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Fax |
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Provider Business Mailing Address
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Address Line | 6817 BRITTANY PL
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City | PINSON
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State | AL
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Zip | 35126-2992
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Country | US
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Telephone | 256-338-4410
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | T48071
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License Number State | AL
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