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General NPI Number Information
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NPI Number | 1689804700
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Entity Type | Organization
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Legal Business Name | KNOXVILLE HOME THERAPIES LLC
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 3201 HENSON RD SUITE 101
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City | KNOXVILLE
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State | TN
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Zip | 37921-5346
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Country | US
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Telephone | 865-602-7887
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Fax | 865-602-4202
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Provider Business Mailing Address
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Address Line | 4222 PAYSPHERE CIRCLE
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City | CHICAGO
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State | IL
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Zip | 60674-0042
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Country | US
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Telephone | 800-879-6137
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CFO
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Name | MICHAEL SHAPIRO
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Credential |
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Telephone | 800-879-6137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 1955
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License Number State | TN
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