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General NPI Number Information
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NPI Number | 1003588450
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Entity Type | Organization
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Legal Business Name | BETHESDA HOSPITAL INC
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 4623 WESLEY AVE STE N
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City | CINCINNATI
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State | OH
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Zip | 45212-2272
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Country | US
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Telephone | 513-569-6071
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Fax | 833-347-5635
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Provider Business Mailing Address
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Address Line | 4623 WESLEY AVE STE N
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City | CINCINNATI
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State | OH
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Zip | 45212-2272
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Country | US
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Telephone | 513-569-6071
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Fax | 833-347-5635
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | JOHN REILLY
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Credential |
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Telephone | 513-246-5675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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