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General NPI Number Information
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NPI Number | 1912312232
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Entity Type | Individual
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Provider Name | PAIGE CLOUD PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 50452 AL HWY 277
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City | BRIDGEPORT
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State | AL
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Zip | 35740
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Country | US
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Telephone | 256-495-9300
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Fax | 256-495-9301
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Provider Business Mailing Address
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Address Line | 275 COUNTY ROAD 596
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City | STEVENSON
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State | AL
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Zip | 35772-5590
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Country | US
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Telephone | 256-495-9300
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Fax | 256-495-9301
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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 | 17014
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License Number State | AL
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