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General NPI Number Information
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NPI Number | 1255463980
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Entity Type | Individual
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Provider Name | PAUL B. MYERS R.PH.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4187 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45223-2245
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Country | US
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Telephone | 513-541-0354
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Fax |
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Provider Business Mailing Address
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Address Line | 1831 W GALBRAITH RD
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City | CINCINNATI
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State | OH
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Zip | 45239-4848
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Country | US
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Telephone | 513-521-4982
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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 | 03-2-07025
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License Number State | OH
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