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General NPI Number Information
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NPI Number | 1053496265
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Entity Type | Organization
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Legal Business Name | JOBES PHARMACY INC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 124 CANTON RD NW
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City | CARROLLTON
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State | OH
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Zip | 44615-1010
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Country | US
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Telephone | 330-627-4176
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Fax |
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Provider Business Mailing Address
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Address Line | 124 CANTON RD NW
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City | CARROLLTON
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State | OH
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Zip | 44615-1010
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Country | US
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Telephone | 330-627-4176
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY L SMITH
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Credential | RPH
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Telephone | 330-627-4176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 02-0079750
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License Number State | OH
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