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General NPI Number Information
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NPI Number | 1013095520
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Entity Type | Organization
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Legal Business Name | MEDISERV MURRAY HILL PHCY INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 100 N MURRAY HILL RD
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City | COLUMBUS
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State | OH
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Zip | 43228-1590
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Country | US
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Telephone | 614-853-9819
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Fax | 614-853-9824
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Provider Business Mailing Address
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Address Line | 100 N MURRAY HILL RD
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City | COLUMBUS
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State | OH
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Zip | 43228-1590
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THIRD PARTY ADMIN
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Name | TRACY HAMMOND
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Credential |
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Telephone | 614-481-4272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | OH
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