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General NPI Number Information
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NPI Number | 1144662040
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Entity Type | Individual
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Provider Name | ANDREW TYLER RHODES PHARM D
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Gender | Male
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 380 S ILLINOIS AVE
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City | OAK RIDGE
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State | TN
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Zip | 37830-6221
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Country | US
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Telephone | 865-483-3301
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Fax |
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Provider Business Mailing Address
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Address Line | 437 S GALLAHER VIEW RD UNIT #20
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City | KNOXVILLE
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State | TN
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Zip | 37919-5356
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Country | US
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Telephone | 615-430-8715
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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 | 37421
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License Number State | TN
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