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General NPI Number Information
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NPI Number | 1164348223
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Entity Type | Organization
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Legal Business Name | MAIN STREET BUSINESS GROUP LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 120 N MAIN ST
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City | ORRVILLE
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State | OH
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Zip | 44667-1638
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Country | US
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Telephone | 330-682-2905
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Fax |
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Provider Business Mailing Address
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Address Line | 120 N MAIN ST
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City | ORRVILLE
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State | OH
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Zip | 44667-1638
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Country | US
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Telephone | 330-682-2905
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Fax |
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Authorized Official
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Title or Position | RESPONSIBLE PERSON
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Name | JOSEPH HORSFALL
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Credential | PHARMD
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Telephone | 330-204-5715
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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 |
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License Number State |
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