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General NPI Number Information
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NPI Number | 1902646367
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Entity Type | Individual
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Provider Name | ERIN KATHLEEN SIMS PHARMACY INTERN
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Gender | Female
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 165 VAUGHAN LN
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City | PELL CITY
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State | AL
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Zip | 35125-7808
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Country | US
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Telephone | 205-338-5312
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Fax | 205-338-5315
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Provider Business Mailing Address
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Address Line | 221 LARGO DR
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City | PELL CITY
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State | AL
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Zip | 35125-7956
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Country | US
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Telephone | 205-362-0690
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | S14464
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License Number State | AL
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