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General NPI Number Information
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NPI Number | 1043619604
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Entity Type | Organization
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Legal Business Name | THE METROHEALTH SYSTEM
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 9885 ROCKSIDE RD STE 157
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City | CLEVELAND
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State | OH
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Zip | 44125-6272
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Country | US
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Telephone | 216-957-4777
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Fax | 216-957-4760
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Provider Business Mailing Address
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Address Line | 9885 ROCKSIDE RD STE 157
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City | CLEVELAND
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State | OH
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Zip | 44125-6272
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Country | US
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Telephone | 216-957-4777
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Fax | 216-957-4760
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Authorized Official
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Title or Position | DIRECTOR PHARMACY BUSINESS
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Name | BRANDON MARK DOPPELHEUER
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Credential |
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Telephone | 216-778-8880
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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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 022442650
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License Number State | OH
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