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General NPI Number Information
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NPI Number | 1013075514
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Entity Type | Organization
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Legal Business Name | HOMEBIOTICS, INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 19118 ALBERTA ST
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City | ONEIDA
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State | TN
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Zip | 37841-6003
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Country | US
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Telephone | 423-569-2400
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Fax | 423-569-2402
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Provider Business Mailing Address
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Address Line | 19118 ALBERTA ST
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City | ONEIDA
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State | TN
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Zip | 37841-6003
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Country | US
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Telephone | 423-569-2400
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Fax | 423-569-2402
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Authorized Official
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Title or Position | PHARMACIST
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Name | TERRY ROARK
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Credential | DPH
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Telephone | 423-569-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2315
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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