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General NPI Number Information
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NPI Number | 1699796664
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Entity Type | Organization
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Legal Business Name | STATE OF TENNESSEE STATE F & A PAYROLL
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 710 HART LN
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City | NASHVILLE
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State | TN
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Zip | 37216-2649
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Country | US
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Telephone | 615-650-7071
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Fax | 615-226-4378
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Provider Business Mailing Address
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Address Line | 710 HART LN
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City | NASHVILLE
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State | TN
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Zip | 37216-2649
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Country | US
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Telephone | 615-650-7071
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Fax | 615-226-4378
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Authorized Official
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Title or Position | STATE DIRECTOR OF PHARMACY
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Name | CALITA RICHARDS
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Credential | PHARMD, MPH
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Telephone | 615-253-2311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 0000000241
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License Number State | TN
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