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General NPI Number Information
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NPI Number | 1639260979
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Entity Type | Individual
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Provider Name | MONICA KAREN TERRY RPH, CDE
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3868 HIGHWAY 431
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City | ROANOKE
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State | AL
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Zip | 36274-2640
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Country | US
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Telephone | 334-863-7511
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Fax | 334-863-7500
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Provider Business Mailing Address
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Address Line | 1013 EDGEWOOD DR
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City | ANNISTON
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State | AL
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Zip | 36207-7119
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Country | US
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Telephone | 256-835-1013
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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 | 11655
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14521
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License Number State | LA
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