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General NPI Number Information
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NPI Number | 1285349217
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Entity Type | Organization
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Legal Business Name | ADH VENTURES LLC
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 7341 MIDDLEBROOK PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37909-3108
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Country | US
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Telephone | 865-245-5180
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Fax |
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Provider Business Mailing Address
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Address Line | 2764 RED BARN RD
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City | KNOXVILLE
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State | TN
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Zip | 37931-3010
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Country | US
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Telephone | 512-758-0556
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. ANDY HO
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Credential | PHARM.D.
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Telephone | 865-245-5180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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