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General NPI Number Information
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NPI Number | 1194913780
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Entity Type | Individual
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Provider Name | JIHAD J JAROUCHE RPH
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Gender | Male
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 5255 FREDELIA DR
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City | TOLEDO
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State | OH
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Zip | 43623-1559
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Country | US
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Telephone | 419-472-2422
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Fax |
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Provider Business Mailing Address
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Address Line | 2434 W LASKEY RD
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City | TOLEDO
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State | OH
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Zip | 43613-3504
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Country | US
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Telephone | 419-473-1221
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Fax | 419-473-1516
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-2-15834
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License Number State | OH
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