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General NPI Number Information
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NPI Number | 1649709585
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Entity Type | Individual
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Provider Name | BRANDY DONALDSON PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 06/05/2017
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Provider Practice Location Address
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Address Line | 112 N MAIN ST
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City | ENTERPRISE
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State | AL
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Zip | 36330-2537
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Country | US
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Telephone | 334-347-2506
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Fax |
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Provider Business Mailing Address
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Address Line | 413 OAKWOOD DR
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City | OPP
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State | AL
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Zip | 36467-9765
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Country | US
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Telephone | 334-701-3765
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS40452
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License Number State | FL
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Taxonomy #2
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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 | 14795
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License Number State | AL
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