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General NPI Number Information
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NPI Number | 1326299090
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Entity Type | Individual
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Provider Name | RUSSELL L CHRISTENSEN PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 127 N OAK AVE STE A
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City | COOKEVILLE
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State | TN
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Zip | 38501-2435
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Country | US
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Telephone | 931-783-2927
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER BLVD
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City | COOKEVILLE
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State | TN
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Zip | 38501-4294
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Country | US
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Telephone | 931-783-2682
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Fax | 931-783-5533
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 56502
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 45957
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License Number State | TN
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