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General NPI Number Information
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NPI Number | 1689983009
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Entity Type | Individual
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Provider Name | CHRISTINE L CLEVELAND PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 525 4TH AVENUE SE
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City | RED BAY
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State | AL
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Zip | 35582
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Country | US
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Telephone | 256-356-4540
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Fax | 256-356-4715
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Provider Business Mailing Address
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Address Line | 180 COUNTY ROAD 14
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City | BELMONT
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State | MS
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Zip | 38827-8745
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Country | US
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Telephone | 662-279-9161
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Fax | 256-356-4715
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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 | 15028
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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 | E09924
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License Number State | MS
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