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General NPI Number Information
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NPI Number | 1720119738
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Entity Type | Individual
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Provider Name | ANTHONY C. EGBUNA RPH
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1734 CARTER HILL RD
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City | MONTGOMERY
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State | AL
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Zip | 36106-2002
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Country | US
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Telephone | 334-263-3818
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Fax | 334-265-1853
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Provider Business Mailing Address
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Address Line | 1624 WORTHING RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-4754
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Country | US
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Telephone | 334-279-4903
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Fax | 334-265-1853
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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 | 11685
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License Number State | AL
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