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General NPI Number Information
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NPI Number | 1861207086
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND MEDICAL CORPORATION, LLC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 418 S GAY ST STE 104
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City | KNOXVILLE
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State | TN
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Zip | 37902-1134
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Country | US
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Telephone | 865-360-7734
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Fax | 865-692-1604
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Provider Business Mailing Address
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Address Line | 5905 KINGSTON PIKE STE 104
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City | KNOXVILLE
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State | TN
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Zip | 37919-6344
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Country | US
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Telephone | 865-692-1604
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RONALD NOLAN SHERRILL
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Credential |
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Telephone | 865-360-7734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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