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General NPI Number Information
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NPI Number | 1518443241
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Entity Type | Organization
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Legal Business Name | JJ BEANS AT LENOX LLC
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 6900 LENOX VILLAGE DR STE 14
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City | NASHVILLE
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State | TN
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Zip | 37211-7366
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Country | US
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Telephone | 615-864-8990
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Fax | 615-915-1239
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Provider Business Mailing Address
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Address Line | 2825 W ANDREW JOHNSON HWY
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City | MORRISTOWN
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State | TN
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Zip | 37814-3216
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Country | US
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Telephone | 423-307-5757
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Fax | 615-915-1239
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JOSEPH HUNTSMAN
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Credential |
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Telephone | 423-307-5757
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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