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General NPI Number Information
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NPI Number | 1780617191
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Entity Type | Organization
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Legal Business Name | SORCON, INC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 2714 CAHABA RD
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City | MOUNTAIN BROOK
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State | AL
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Zip | 35223-2304
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Country | US
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Telephone | 205-871-1141
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Fax | 205-871-7439
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Provider Business Mailing Address
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Address Line | 2714 CAHABA RD
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City | MOUNTAIN BROOK
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State | AL
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Zip | 35223-2304
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Country | US
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Telephone | 205-871-1141
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Fax | 205-871-7439
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Authorized Official
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Title or Position | PHARMACIST/PRESIDENT
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Name | MR. RALPH EVANS SORRELL JR.
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Credential | RPH
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Telephone | 205-871-1141
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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 | 110792
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License Number State | AL
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