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General NPI Number Information
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NPI Number | 1336743053
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Entity Type | Individual
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Provider Name | CHRISTOPHER LOWELL DUCKWORTH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 2424 N OCOEE ST
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City | CLEVELAND
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State | TN
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Zip | 37311-3854
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Country | US
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Telephone | 423-473-7874
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Fax | 423-473-7211
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Provider Business Mailing Address
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Address Line | 674 COUNTY ROAD 442
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City | ATHENS
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State | TN
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Zip | 37303-6479
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Country | US
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Telephone | 423-368-3074
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0000027817
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License Number State | TN
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