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General NPI Number Information
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NPI Number | 1336160308
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Entity Type | Organization
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Legal Business Name | BETHESDA HOSPITAL INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 4623 WESLEY AVE SUITE N
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City | CINCINNATI
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State | OH
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Zip | 45212
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Country | US
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Telephone | 877-403-4229
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Fax | 833-347-5635
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Provider Business Mailing Address
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Address Line | 4623 WESLEY AVE. SUITE N SUITE N
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City | CINCINNATI
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State | OH
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Zip | 45212
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Country | US
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Telephone | 877-403-4229
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Fax | 833-347-5635
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | JOHN REILLY
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Credential |
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Telephone | 513-246-5675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RTP02014530003
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License Number State | OH
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