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General NPI Number Information
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NPI Number | 1790887768
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Entity Type | Individual
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Provider Name | DONALD PHILLIP MAUGHAN RPH
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2312 6TH ST # B
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City | TUSCALOOSA
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State | AL
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Zip | 35401-1741
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Country | US
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Telephone | 205-758-3611
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Fax | 205-758-9441
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Provider Business Mailing Address
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Address Line | 6725 DUNBARTON DR
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2921
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Country | US
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Telephone | 205-349-0016
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Fax | 205-758-9441
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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 | 6102
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License Number State | AL
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