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General NPI Number Information
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NPI Number | 1073052288
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH - TIFFIN HOSPITAL LLC
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 45 ST LAWRENCE DR
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City | TIFFIN
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State | OH
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Zip | 44883-8310
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Country | US
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Telephone | 419-455-7147
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 636535
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City | CINCINNATI
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State | OH
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Zip | 45263-6535
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Country | US
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Telephone | 419-455-7147
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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. DANIEL BARBEE
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Credential |
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Telephone | 419-307-0158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | HOS.020029150-03
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License Number State | OH
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