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General NPI Number Information
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NPI Number | 1760723878
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Entity Type | Organization
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Legal Business Name | GFPI L.L.C. - GUICE PHARMACY
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 1416 6TH AVE SE UNIT D
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City | DECATUR
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State | AL
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Zip | 35601-4247
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Country | US
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Telephone | 256-355-7743
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Fax | 256-355-7783
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Provider Business Mailing Address
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Address Line | 1416 6TH AVE SE UNIT D
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City | DECATUR
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State | AL
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Zip | 35601-4247
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Country | US
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Telephone | 256-355-7743
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Fax | 256-355-7783
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | DR. EDWARD GUICE
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Credential | PHARM.D.
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Telephone | 256-355-7743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 114063
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License Number State | AL
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