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General NPI Number Information
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NPI Number | 1831216498
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Entity Type | Individual
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Provider Name | CARL GREY SHIRLEY RPH
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4201 UNIVERSITY BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35404-4403
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Country | US
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Telephone | 205-553-9477
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 MCFARLAND BLVD E WILLOW TRACE APT 604
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City | TUSCALOOSA
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State | AL
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Zip | 35405-2407
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Country | US
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Telephone | 205-799-1072
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Fax |
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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 | 11651
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License Number State | AL
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