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General NPI Number Information
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NPI Number | 1174883961
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Entity Type | Individual
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Provider Name | LESLIE ROBERTS TURNER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/25/2012
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 121 BOONE RIDGE DR SUITE 1004
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City | JOHNSON CITY
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State | TN
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Zip | 37615-4992
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Country | US
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Telephone | 423-282-0520
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 WOODLEAF LN
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City | KINGSPORT
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State | TN
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Zip | 37663-4300
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Country | US
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Telephone | 423-863-5227
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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 | 36060
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License Number State | TN
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