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General NPI Number Information
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NPI Number | 1922376722
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Entity Type | Individual
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Provider Name | KABRINA HUDSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 12 SHELTON BEACH RD
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City | SARALAND
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State | AL
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Zip | 36571-2403
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Country | US
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Telephone | 251-948-3076
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Fax |
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Provider Business Mailing Address
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Address Line | 3791 BLUE HERON DR
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City | GULF SHORES
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State | AL
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Zip | 36542-2787
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Country | US
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Telephone | 251-948-3076
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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 | 16470
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS46870
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License Number State | FL
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