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General NPI Number Information
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NPI Number | 1871639971
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Entity Type | Individual
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Provider Name | ANDRIA C SPATES RPH
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2640 ENTERPRISE DR
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City | OPELIKA
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State | AL
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Zip | 36801-1511
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Country | US
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Telephone | 334-745-4304
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Fax | 334-745-4304
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Provider Business Mailing Address
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Address Line | 1805 BLUESTONE CT
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City | AUBURN
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State | AL
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Zip | 36830-1902
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Country | US
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Telephone | 334-745-4304
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Fax | 334-745-4304
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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 | 13584
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License Number State | AL
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