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General NPI Number Information
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NPI Number | 1962032474
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Entity Type | Individual
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Provider Name | ADRIANNA TAYLOR REAGAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 2000 PEPPERELL PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-5422
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Country | US
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Telephone | 706-325-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 74 LEE ROAD 2138
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City | PHENIX CITY
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State | AL
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Zip | 36870-1007
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Country | US
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Telephone | 706-325-2602
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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 | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number | 22653
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | S12721
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License Number State | AL
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