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General NPI Number Information
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NPI Number | 1730293721
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Entity Type | Organization
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Legal Business Name | FAIRVIEW PHARMACY INC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 2243 FAIRVIEW BLVD
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City | FAIRVIEW
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State | TN
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Zip | 37062-9070
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Country | US
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Telephone | 615-799-0600
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Fax | 615-799-9849
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Provider Business Mailing Address
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Address Line | 2243 FAIRVIEW BLVD
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City | FAIRVIEW
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State | TN
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Zip | 37062-9070
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Country | US
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Telephone | 615-799-0600
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Fax | 615-799-9849
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Authorized Official
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Title or Position | OWNER
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Name | JAMES ANDERSON
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Credential |
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Telephone | 615-799-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0000000088
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License Number State | TN
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