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General NPI Number Information
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NPI Number | 1841807609
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Entity Type | Individual
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Provider Name | SHELBY TAYLOR HOLLEY PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 101 GREEN SPRINGS HWY
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City | BIRMINGHAM
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State | AL
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Zip | 35209-4903
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Country | US
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Telephone | 205-942-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 101 LEAF LAKE BLVD APT 1704
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City | BIRMINGHAM
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State | AL
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Zip | 35211-7260
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Country | US
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Telephone | 334-319-4699
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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 | 21575
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License Number State | AL
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