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General NPI Number Information
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NPI Number | 1083892087
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Entity Type | Organization
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Legal Business Name | LEES TOTAL HEALTH PHARMACY INC
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 2453 BOYDS CREEK HWY STE 201
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City | SEVIERVILLE
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State | TN
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Zip | 37876-0676
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Country | US
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Telephone | 865-428-7439
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Fax | 865-453-4515
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Provider Business Mailing Address
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Address Line | 2453 BOYDS CREEK HWY STE 201
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City | SEVIERVILLE
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State | TN
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Zip | 37876-0676
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Country | US
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Telephone | 865-428-7439
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Fax | 865-453-4515
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Authorized Official
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Title or Position | OWNER
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Name | ERIC LEE
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Credential | PHRMD
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Telephone | 865-368-0383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 4473
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License Number State | TN
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