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General NPI Number Information
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NPI Number | 1932239472
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Entity Type | Individual
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Provider Name | THERESA MASSEY RICHMOND RPH
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 950 22ND ST N STE 590
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City | BIRMINGHAM
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State | AL
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Zip | 35203-1126
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Country | US
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Telephone | 205-458-8575
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Fax |
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Provider Business Mailing Address
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Address Line | 1039 HIGHLAND PARK PL
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2486
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Country | US
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Telephone | 205-980-5565
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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 | 14343
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License Number State | AL
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