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General NPI Number Information
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NPI Number | 1184023640
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Entity Type | Organization
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Legal Business Name | TRIHEALTH G, LLC
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 1 NEUMANN WAY BLDG 750
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City | CINCINNATI
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State | OH
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Zip | 45215-1915
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Country | US
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Telephone | 513-853-8999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15868
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City | CINCINNATI
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State | OH
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Zip | 45215-0868
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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 | PHARMACY SUPERVISOR
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Name | JOHN REILLY
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Credential | RPH
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Telephone | 513-246-5675
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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 | 022425250
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License Number State | OH
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