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NPI 1952909053

NPI 1952909053 : PAYNE & PITTS, LLC : BRIDGEPORT, AL

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General NPI Number Information
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    NPI Number           |    1952909053
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    Entity Type          |    Organization 
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    Legal Business Name  |    PAYNE & PITTS, LLC 
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Dates
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    Enumeration Date     |    10/12/2020
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    602 ALABAMA AVENUE 
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    City                 |    BRIDGEPORT
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    State                |    AL
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    Zip                  |    35740-7513
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    Country              |    US
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    Telephone            |    256-495-8060
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    Fax                  |    256-495-8061
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Provider Business Mailing Address
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    Address Line         |    PO BOX 730 
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    City                 |    BRIDGEPORT
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    State                |    AL
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    Zip                  |    35740-0730
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    Country              |    US
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    Telephone            |    256-495-8060
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    Fax                  |    256-495-8061
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Authorized Official
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    Title or Position    |    MEMBER/OWNER
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    Name                 |     BELINDA P BALLARD 
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    Credential           |    RPH
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    Telephone            |    256-608-8833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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