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General NPI Number Information
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NPI Number | 1093776825
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Entity Type | Organization
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Legal Business Name | I C P INC
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 1815 W COUNTY ROAD 54
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City | TIFFIN
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State | OH
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Zip | 44883-7723
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Country | US
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Telephone | 800-228-8278
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Fax | 419-447-1878
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Provider Business Mailing Address
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Address Line | 1815 W COUNTY RD 54
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City | TIFFIN
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State | OH
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Zip | 44883-9667
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Country | US
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Telephone | 419-447-6216
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Fax | 419-447-1878
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | DANIEL JAMES SEIGHMAN
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Credential |
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Telephone | 216-310-2460
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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 | 020434650
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State | OH
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