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General NPI Number Information
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NPI Number | 1699852418
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Entity Type | Individual
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Provider Name | ROBERT PATRICK DEVEREUX PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1817 13TH AVE N
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City | BESSEMER
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State | AL
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Zip | 35020-3246
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Country | US
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Telephone | 205-424-3194
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Fax | 205-424-3180
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Provider Business Mailing Address
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Address Line | 244 CAMBRIAN RIDGE TRL
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City | PELHAM
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State | AL
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Zip | 35124-4821
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Country | US
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Telephone | 205-305-7399
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14974
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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 | 022795
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License Number State | GA
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