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General NPI Number Information
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NPI Number | 1649329343
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Entity Type | Individual
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Provider Name | DEEMS RIDDLE RPH
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4335 RINGGOLD RD
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City | CHATTANOOGA
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State | TN
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Zip | 37412-2740
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Country | US
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Telephone | 423-510-2788
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Fax | 423-510-2789
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Provider Business Mailing Address
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Address Line | 1733 S SEMINOLE DR
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City | CHATTANOOGA
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State | TN
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Zip | 37412-1145
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Country | US
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Telephone | 423-510-2788
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Fax | 423-510-2789
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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 | 3823
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License Number State | TN
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