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General NPI Number Information
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NPI Number | 1033829528
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Entity Type | Organization
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Legal Business Name | ABC CONSULTING INC
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Dates
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Enumeration Date | 11/25/2022
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 526 HIGHWAY 52 BYP W
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City | LAFAYETTE
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State | TN
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Zip | 37083-1614
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Country | US
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Telephone | 615-666-9542
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Fax | 615-666-2222
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Provider Business Mailing Address
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Address Line | 526 HIGHWAY 52 BYP W
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City | LAFAYETTE
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State | TN
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Zip | 37083-1614
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Country | US
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Telephone | 615-666-9542
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Fax | 615-666-2222
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Authorized Official
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Title or Position | OWNER/PHARMACIST-IN-CHARGE
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Name | DR. BILLY J. CLENDENIN
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Credential | PHARM D.
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Telephone | 615-666-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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