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General NPI Number Information
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NPI Number | 1700542370
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Entity Type | Individual
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Provider Name | BETHANY GALLAHAIR PHARM.D., BCACP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 4100 GOSS RD SW
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City | HUNTSVILLE
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State | AL
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Zip | 35809-0001
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Country | US
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Telephone | 256-876-5773
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Fax |
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Provider Business Mailing Address
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Address Line | 113 BENOIR TRL
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City | MADISON
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State | AL
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Zip | 35756-2603
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Country | US
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Telephone | 334-329-9252
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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 | 17103
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License Number State | AL
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