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General NPI Number Information
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NPI Number | 1336590231
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Entity Type | Individual
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Provider Name | SEAN ROYER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 10055 OLD US 20
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City | ROSSFORD
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State | OH
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Zip | 43460-1729
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Country | US
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Telephone | 419-873-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 5546 303RD ST
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City | TOLEDO
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State | OH
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Zip | 43611-2300
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Country | US
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Telephone | 419-460-9291
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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 | 03324118
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License Number State | OH
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