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General NPI Number Information
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NPI Number | 1194388702
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Entity Type | Organization
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Legal Business Name | OAK RIDGE PHARMACY
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 07/04/2019
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Provider Practice Location Address
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Address Line | 854 MAIN ST W
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City | OAK RIDGE
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State | TN
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Zip | 37830
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Country | US
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Telephone | 865-482-0345
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Fax |
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Provider Business Mailing Address
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Address Line | 854 MAIN STREET WEST
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City | OAK RIDGE
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State | TN
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Zip | 37830
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Country | US
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Telephone | 865-482-0345
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Fax | 865-482-8814
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Authorized Official
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Title or Position | OWNER/PIC
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Name | DR. SAAD AQQAD
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Credential | PHARM D
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Telephone | 865-482-0345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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