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General NPI Number Information
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NPI Number | 1780736959
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Entity Type | Organization
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Legal Business Name | NELMS, LLC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 203 W LEE ST
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City | TUSKEGEE
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State | AL
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Zip | 36083-1719
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Country | US
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Telephone | 334-727-2150
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Fax | 334-727-6504
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Provider Business Mailing Address
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Address Line | 203 W LEE ST
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City | TUSKEGEE
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State | AL
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Zip | 36083-1719
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Country | US
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Telephone | 334-727-2150
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Fax | 334-727-6504
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Authorized Official
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Title or Position | OWNER
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Name | TRAE NELMS
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Credential |
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Telephone | 334-727-2150
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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 | 101597
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License Number State | AL
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