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General NPI Number Information
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NPI Number | 1043292014
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Entity Type | Organization
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Legal Business Name | ROSS PARK HOME INFUSION SERVICES
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 380 SUMMIT AVE
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2667
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Country | US
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Telephone | 740-283-7365
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Fax | 740-283-7423
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Provider Business Mailing Address
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Address Line | 380 SUMMIT AVE
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2667
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Country | US
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Telephone | 740-283-7365
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Fax | 740-283-7423
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. GERARD MICHAEL MCKEEGAN
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Credential | R.PH.
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Telephone | 740-283-7365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | HMEL.11104
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State | OH
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