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General NPI Number Information
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NPI Number | 1336224120
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Entity Type | Organization
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Legal Business Name | NORCHEM LLC.
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 03/08/2012
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Provider Practice Location Address
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Address Line | 1247 NE MEDICAL CENTER DRIVE SUITE 1
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City | BEND
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State | OR
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Zip | 97701
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Country | US
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Telephone | 541-382-2992
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Fax |
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Provider Business Mailing Address
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Address Line | 1247 NE MEDICAL CENTER DRIVE SUITE 1
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City | BEND
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State | OR
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Zip | 97701
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Country | US
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Telephone | 541-382-2992
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. ROBERT W ROSE
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Credential | RPH
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Telephone | 541-382-2992
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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 | RPH-0007142
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License Number State | OR
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