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General NPI Number Information
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NPI Number | 1003059163
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Entity Type | Individual
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Provider Name | BRENDA H CORBETT RPH
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Gender | Female
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Dates
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Enumeration Date | 04/19/2009
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Last Update Date | 04/19/2009
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Provider Practice Location Address
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Address Line | 898 S MAIN ST
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City | CENTERVILLE
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State | OH
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Zip | 45458-3439
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Country | US
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Telephone | 937-433-4909
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Fax | 937-474-9972
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Provider Business Mailing Address
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Address Line | 8025 GREEN LAKE DR
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-9475
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Country | US
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Telephone | 513-295-2175
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Fax | 513-755-9290
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03314233
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License Number State | OH
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