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General NPI Number Information
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NPI Number | 1073081972
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Entity Type | Organization
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Legal Business Name | TWELVESTONE MEDICAL, INC
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 11/08/2018
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Provider Practice Location Address
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Address Line | 352 W NORTHFIELD BLVD STE 3A
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City | MURFREESBORO
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State | TN
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Zip | 37129-1539
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Country | US
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Telephone | 844-893-0012
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Fax |
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Provider Business Mailing Address
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Address Line | 352 W NORTHFIELD BLVD STE 3A
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City | MURFREESBORO
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State | TN
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Zip | 37129-1539
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER OF CONTRACTING
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Name | ROBERT KURTZ
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Credential |
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Telephone | 615-278-3385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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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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