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General NPI Number Information
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NPI Number | 1912057217
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Entity Type | Individual
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Provider Name | WILLIAM NEIL LAWLEY CPHT
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2018 WESTERN AVE
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City | KNOXVILLE
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State | TN
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Zip | 37921-5718
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Country | US
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Telephone | 865-544-0406
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Fax | 865-934-6775
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Provider Business Mailing Address
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Address Line | 7540 SCENIC VIEW DR
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City | KNOXVILLE
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State | TN
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Zip | 37938-3231
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Country | US
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Telephone | 865-922-5239
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 26619
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License Number State | TN
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