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NPI 1619014032

NPI 1619014032 : JOHN DAVID DUNCAN PHARM.D. : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1619014032
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN DAVID DUNCAN PHARM.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/01/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    140 DAMERON AVE PHARMACY
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37917-6413
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    Country              |    US
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    Telephone            |    865-215-5141
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    Fax                  |    865-215-5143
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Provider Business Mailing Address
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    Address Line         |    1517 DUNCAN RD 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37919-8632
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    Country              |    US
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    Telephone            |    865-588-8622
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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       |    0000010078
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    License Number State |    TN
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