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General NPI Number Information
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NPI Number | 1225236870
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Entity Type | Organization
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Legal Business Name | ACCESS SPECIALIZED CARE
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 4062 HIXSON PIKE STE C
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City | CHATTANOOGA
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State | TN
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Zip | 37415-3110
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Country | US
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Telephone | 423-877-3568
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Fax | 423-362-4875
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Provider Business Mailing Address
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Address Line | 4062 HIXSON PIKE STE C
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City | CHATTANOOGA
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State | TN
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Zip | 37415-3110
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Country | US
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Telephone | 423-877-3568
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Fax | 423-362-4875
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Authorized Official
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Title or Position | OWNER
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Name | MAX STANDEFER
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Credential | RPH
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Telephone | 423-877-3568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 4423
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License Number State | TN
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