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General NPI Number Information
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NPI Number | 1962892349
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Entity Type | Organization
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Legal Business Name | RURAL PHYSICIAN PARTNERS PHARMACY
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 361 MALLORY STATION RD STE 108
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City | FRANKLIN
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State | TN
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Zip | 37067-8254
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Country | US
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Telephone | 615-739-6501
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Fax | 615-739-6245
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Provider Business Mailing Address
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Address Line | 361 MALLORY STATION RD SUITE 108
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City | FRANKLIN
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State | TN
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Zip | 37067-2832
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Country | US
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Telephone | 615-739-6501
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Fax | 615-739-6245
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Authorized Official
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Title or Position | MANAGER
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Name | KEVIN HARTMAN
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Credential |
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Telephone | 615-579-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5516
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License Number State | TN
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