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General NPI Number Information
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NPI Number | 1073681870
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Entity Type | Organization
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Legal Business Name | ACACIA CEDAR INC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 26900 CEDAR RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-1191
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Country | US
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Telephone | 216-595-2585
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Fax | 216-595-2584
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Provider Business Mailing Address
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Address Line | 26900 CEDAR RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-1191
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHCST MGR
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Name | LARRY SHEIR
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Credential | RPH
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Telephone | 216-595-2585
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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 | 02549200
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License Number State | OH
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