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General NPI Number Information
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NPI Number | 1932474178
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Entity Type | Individual
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Provider Name | NADINE MICHELLE REESE RPH
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Gender | Female
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 1400 6TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1502
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Country | US
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Telephone | 205-930-1065
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 14TH CT
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City | PLEASANT GROVE
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State | AL
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Zip | 35127-2464
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Country | US
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Telephone | 205-567-0106
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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 | 12947
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License Number State | AL
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