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General NPI Number Information
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NPI Number | 1972090918
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Entity Type | Individual
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Provider Name | NONNA D TINDAL PHARMACY TECH
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Gender | Female
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 2910 MORGAN RD STE 1282910
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City | BESSEMER
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State | AL
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Zip | 35022-6484
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Country | US
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Telephone | 205-425-2828
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Fax | 205-425-2021
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Provider Business Mailing Address
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Address Line | 4729 S SHADES CREST RD
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City | HELENA
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State | AL
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Zip | 35022-4310
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Country | US
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Telephone | 205-441-1465
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Fax | 205-425-2021
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | T54487
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License Number State | AL
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