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General NPI Number Information
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NPI Number | 1952034894
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Entity Type | Individual
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Provider Name | CHASE ANGLIN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 12550 US HIGHWAY 90
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City | GRAND BAY
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State | AL
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Zip | 36541-5609
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Country | US
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Telephone | 251-865-1429
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Fax |
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Provider Business Mailing Address
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Address Line | 1773 POPPS FERRY RD APT G37
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City | BILOXI
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State | MS
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Zip | 39532-2273
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Country | US
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Telephone | 601-270-5497
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 22559
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License Number State | AL
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