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General NPI Number Information
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NPI Number | 1033213616
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 2213 FRANKLIN AVE
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City | TOLEDO
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State | OH
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Zip | 43620-1402
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Country | US
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Telephone | 419-251-2485
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Fax | 419-251-2394
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Provider Business Mailing Address
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Address Line | PO BOX 639922
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City | CINCINNATI
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State | OH
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Zip | 45263-9922
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Country | US
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Telephone | 419-251-2485
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Fax | 419-251-2394
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Authorized Official
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Title or Position | SYSTEM DIRECTOR
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Name | KIMBERLY RALSTON
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Credential |
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Telephone | 419-996-5119
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RTP020499950
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License Number State | OH
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