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General NPI Number Information
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NPI Number | 1215220611
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Entity Type | Organization
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Legal Business Name | ORIONRX OHIO, LLC
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 5920 MAYFAIR RD
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City | NORTH CANTON
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State | OH
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Zip | 44720-1549
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Country | US
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Telephone | 330-526-0777
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Fax | 330-526-0773
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Provider Business Mailing Address
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Address Line | 5920 MAYFAIR RD
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City | NORTH CANTON
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State | OH
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Zip | 44720-1549
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Country | US
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Telephone | 330-526-0777
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Fax | 330-526-0773
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Authorized Official
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Title or Position | DIRECTOR
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Name | WILLIAM GRBCICH
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Credential | RPH
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Telephone | 330-526-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 022124650
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License Number State | OH
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