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General NPI Number Information
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NPI Number | 1215206131
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Entity Type | Individual
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Provider Name | DENISE RAINEY PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 1542 WAYNE AVE
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City | DAYTON
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State | OH
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Zip | 45410-1708
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Country | US
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Telephone | 937-254-2156
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Fax |
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Provider Business Mailing Address
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Address Line | 9334 BENNINGTON WAY
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City | CENTERVILLE
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State | OH
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Zip | 45458-5044
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Country | US
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Telephone | 937-308-5694
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Fax |
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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 | 30092
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License Number State | OH
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