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General NPI Number Information
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NPI Number | 1013510999
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Entity Type | Individual
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Provider Name | DR. CHRISTOPHER GRIDER
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Gender | Male
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 2891 E WATERLOO RD
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City | AKRON
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State | OH
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Zip | 44312-4076
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Country | US
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Telephone | 330-628-0781
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Fax |
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Provider Business Mailing Address
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Address Line | 1704 NORTHMORELAND BLVD
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-4431
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Country | US
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Telephone | 440-309-6794
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03136181
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License Number State | OH
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