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General NPI Number Information
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NPI Number | 1184030330
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Entity Type | Organization
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Legal Business Name | CARDINAL HEALTH 414, LLC
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 3305 LATHROP ST STE 100
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City | SOUTH BEND
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State | IN
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Zip | 46628-4400
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Country | US
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Telephone | 574-233-5970
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 CARDINAL PL
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City | DUBLIN
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State | OH
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Zip | 43017-1091
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Country | US
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Telephone | 614-757-7570
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Fax |
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | PAUL GOTTI
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Credential |
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Telephone | 614-757-5114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336N0007X
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Taxonomy Name | Nuclear Pharmacy
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License Number | 60006376A
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License Number State | IN
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