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General NPI Number Information
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NPI Number | 1700938974
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Entity Type | Organization
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Legal Business Name | AUBURN UNIVERSITY
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 2150 WALKER BUILDING
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City | AUBURN
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State | AL
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Zip | 36849-5501
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Country | US
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Telephone | 334-844-8938
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Fax | 334-844-8983
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Provider Business Mailing Address
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Address Line | 2150 WALKER BUILDING
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City | AUBURN
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State | AL
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Zip | 36849-5501
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Country | US
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Telephone | 334-844-8938
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Fax | 334-844-8983
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Authorized Official
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Title or Position | COORDINATOR OF PHARMACY SVCS
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Name | GREG PEDEN
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Credential |
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Telephone | 334-844-4643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 112744
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License Number State | AL
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