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General NPI Number Information
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NPI Number | 1346469400
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Entity Type | Organization
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Legal Business Name | FIRELANDS REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1111 HAYES AVE
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City | SANDUSKY
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State | OH
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Zip | 44870-3323
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Country | US
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Telephone | 419-557-7473
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Fax | 419-557-6944
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Provider Business Mailing Address
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Address Line | 1111 HAYES AVE
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City | SANDUSKY
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State | OH
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Zip | 44870-3323
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Country | US
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Telephone | 419-557-7473
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Fax | 419-557-6944
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Authorized Official
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Title or Position | VP/CAO
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Name | JAMES SPICER
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Credential | RPH
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Telephone | 419-557-7340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 021869550
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License Number State | OH
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