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General NPI Number Information
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NPI Number | 1215607973
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Entity Type | Organization
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Legal Business Name | R&J DRUG COMPANY 2
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 1619 W MARKET ST
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City | JOHNSON CITY
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State | TN
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Zip | 37604-6018
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Country | US
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Telephone | 423-928-8887
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Fax | 423-926-7321
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Provider Business Mailing Address
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Address Line | 1619 W MARKET ST
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City | JOHNSON CITY
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State | TN
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Zip | 37604-6018
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Country | US
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Telephone | 423-928-8887
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Fax | 423-926-7321
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Authorized Official
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Title or Position | OWNER/AO
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Name | JULIE ANNE COOPER
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Credential | PHARMD
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Telephone | 865-604-6985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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