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General NPI Number Information
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NPI Number | 1932689924
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Entity Type | Individual
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Provider Name | AMANDA NUTTER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2018
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Last Update Date | 08/18/2018
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Provider Practice Location Address
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Address Line | 230 20TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2022
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Country | US
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Telephone | 205-250-7173
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Fax |
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Provider Business Mailing Address
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Address Line | 438 WOODMERE CREEK LN
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City | BIRMINGHAM
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State | AL
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Zip | 35226-3567
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Country | US
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Telephone | 214-957-5550
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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 | 20364
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License Number State | AL
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