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General NPI Number Information
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NPI Number | 1881756658
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Entity Type | Organization
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Legal Business Name | THE FAMILY WELLNESS GROUP INC.
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 707 VETERANS MEMORIAL DR
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City | TELLICO PLAINS
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State | TN
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Zip | 37385-4844
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Country | US
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Telephone | 423-253-6003
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Fax | 423-253-6888
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Provider Business Mailing Address
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Address Line | 707 VETERANS MEMORIAL DRIVE
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City | TELLICO PLAINS
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State | TN
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Zip | 37385
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Country | US
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Telephone | 423-253-6003
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Fax | 423-253-6888
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. JASON CARL MILLER
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Credential | PHARM D.
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Telephone | 423-253-6003
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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 | 4285
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License Number State | TN
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