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General NPI Number Information
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NPI Number | 1689278079
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Entity Type | Individual
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Provider Name | MAX KEITH NORMAN JR. PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/25/2020
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 5400 HIGHWAY 280
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City | HOOVER
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State | AL
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Zip | 35242-6508
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Country | US
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Telephone | 205-980-7670
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Fax | 205-980-7672
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Provider Business Mailing Address
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Address Line | 518 TWIN BRANCH DR
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City | VESTAVIA
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State | AL
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Zip | 35226-2342
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Country | US
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Telephone | 334-399-8971
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Fax | 205-980-7672
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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 | 17391
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License Number State | AL
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