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General NPI Number Information
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NPI Number | 1124354915
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Entity Type | Individual
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Provider Name | LINDA ANGELENE LEMMON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 2000 BROOKSIDE DR
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City | KINGSPORT
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State | TN
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Zip | 37660-4627
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Country | US
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Telephone | 423-857-7028
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 CHEROKEE RD
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City | JONESBOROUGH
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State | TN
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Zip | 37659-6578
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Country | US
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Telephone | 423-753-5095
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11041
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26019798A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15386
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202208489
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License Number State | VA
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