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General NPI Number Information
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NPI Number | 1689348948
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Entity Type | Individual
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Provider Name | JOSHUA DALE OLIVER PHARMD, BCOP
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Gender | Male
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 619 19TH ST S # JT1735
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1900
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Country | US
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Telephone | 205-996-2887
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Fax |
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Provider Business Mailing Address
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Address Line | 619 19TH ST S # JT1735
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1900
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Country | US
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Telephone |
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 17811
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License Number State | AL
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