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General NPI Number Information
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NPI Number | 1609948736
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Entity Type | Organization
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Legal Business Name | PERSONAL TOUCH HEALTHCARE AND PHARMACY
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 824 6TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-3022
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Country | US
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Telephone | 256-351-0404
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Fax | 256-351-2073
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Provider Business Mailing Address
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Address Line | PO BOX 3074
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City | DECATUR
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State | AL
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Zip | 35602-3074
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Country | US
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Telephone | 256-351-0404
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHIP BALDWIN
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Credential |
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Telephone | 256-350-4782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 111080
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License Number State | AL
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