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General NPI Number Information
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NPI Number | 1093271561
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Entity Type | Organization
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Legal Business Name | BUNCH MEDICAL LLC
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 1467 W MORRIS BLVD
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City | MORRISTOWN
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State | TN
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Zip | 37813-2828
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Country | US
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Telephone | 423-289-1111
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Fax | 423-289-1121
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Provider Business Mailing Address
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Address Line | 1467 W MORRIS BLVD
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City | MORRISTOWN
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State | TN
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Zip | 37813-2828
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Country | US
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Telephone | 423-289-1111
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Fax | 423-289-1121
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Authorized Official
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Title or Position | PHARMACIST
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Name | JARROD SETH VICK
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Credential | PHARMD
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Telephone | 423-289-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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