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General NPI Number Information
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NPI Number | 1548709058
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Entity Type | Individual
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Provider Name | CHRISTOPHER PAUL KONECNY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 127 CRESTVIEW PARK DR STE 100
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City | DICKSON
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State | TN
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Zip | 37055-2854
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Country | US
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Telephone | 615-446-8043
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Fax |
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Provider Business Mailing Address
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Address Line | 247 SPENCER CREEK RD
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City | FRANKLIN
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State | TN
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Zip | 37069-6503
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Country | US
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Telephone | 732-580-5805
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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 | 33351
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License Number State | TN
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