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General NPI Number Information
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NPI Number | 1457243396
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Entity Type | Individual
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Provider Name | WILLIAM MACHENZIE RASNICK PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 208 SUNCREST ST UNIT 1
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City | GRAY
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State | TN
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Zip | 37615-3494
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Country | US
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Telephone | 423-477-3847
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Fax |
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Provider Business Mailing Address
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Address Line | 499 TWIN OAKS DR
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City | JOHNSON CITY
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State | TN
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Zip | 37601-7612
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Country | US
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Telephone | 276-477-9795
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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 | RASN-JD78P6
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 48831
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License Number State | TN
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