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General NPI Number Information
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NPI Number | 1932478997
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Entity Type | Individual
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Provider Name | GREGG ALLEN ALBRIGHT RPH
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Gender | Male
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 3801 SPRING ST
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City | MOUNT PLEASANT
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State | WI
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Zip | 53405-1667
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Country | US
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Telephone | 262-687-4306
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Fax | 262-687-5386
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Provider Business Mailing Address
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Address Line | 317 WOLFF ST
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City | RACINE
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State | WI
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Zip | 53402-4269
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Country | US
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Telephone | 262-639-6433
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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 | 10771
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 10771
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License Number State | WI
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