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General NPI Number Information
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NPI Number | 1225215007
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Entity Type | Organization
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Legal Business Name | STATE OF OHIO OF BUDGET AND MANAGEMENT STATE ACCOUNTING
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 5900 B I S ROAD
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-653-4324
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Fax | 740-653-7169
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Provider Business Mailing Address
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Address Line | 5900 B I S ROAD
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-653-4324
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Fax | 740-653-7169
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Authorized Official
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Title or Position | PHCY DIRECTOR
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Name | JERRY OLIVER
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Credential | RPH
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Telephone | 740-653-4324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 020297800
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License Number State | OH
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