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General NPI Number Information
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NPI Number | 1649663147
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Entity Type | Individual
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Provider Name | MARIA BEREC PHARMACISTS
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Gender | Female
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 1303 DR MARTIN L KING JR AVE
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City | MOBILE
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State | AL
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Zip | 36603-5341
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Country | US
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Telephone | 251-432-4117
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Fax | 251-436-7765
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Provider Business Mailing Address
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Address Line | PO BOX 2048
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City | MOBILE
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State | AL
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Zip | 36652-2048
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Country | US
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Telephone | 251-964-4011
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Fax | 251-964-4012
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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 | 178941
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 17891
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | 17891
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 17891
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 17891
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 17891
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License Number State | AL
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