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General NPI Number Information
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NPI Number | 1699474320
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Entity Type | Organization
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Legal Business Name | OPTIVRX, LLC
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1600 BREDA DR FL B
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City | KNOXVILLE
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State | TN
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Zip | 37918-1405
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Country | US
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Telephone | 865-500-4987
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Fax | 865-500-3968
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Provider Business Mailing Address
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Address Line | 1002 CEDAR SPRINGS RD
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City | ATHENS
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State | TN
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Zip | 37303-4530
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Country | US
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Telephone | 865-206-1550
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Fax | 865-500-3968
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Authorized Official
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Title or Position | OWNER
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Name | TRACEY LEANN HILL
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Credential | CPHT.
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Telephone | 865-206-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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