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General NPI Number Information
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NPI Number | 1538793567
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Entity Type | Organization
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Legal Business Name | FPM LLC
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Dates
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Enumeration Date | 02/28/2020
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 6078 S 1ST ST
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City | MILAN
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State | TN
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Zip | 38358-3131
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Country | US
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Telephone | 731-238-3800
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Fax | 731-249-9972
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Provider Business Mailing Address
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Address Line | 43 N BROAD ST
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City | LEXINGTON
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State | TN
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Zip | 38351-1519
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Country | US
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Telephone | 731-307-8624
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMMY R MIDDLETON
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Credential |
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Telephone | 731-238-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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