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General NPI Number Information
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NPI Number | 1346816659
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Entity Type | Individual
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Provider Name | DAVID CAIRES PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/28/2021
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 2100 NILES CORTLAND RD SE
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City | WARREN
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State | OH
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Zip | 44484-3017
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Country | US
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Telephone | 234-544-0010
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Fax |
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Provider Business Mailing Address
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Address Line | 4598 PHILLIPS RICE RD
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City | CORTLAND
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State | OH
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Zip | 44410-9629
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Country | US
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Telephone | 330-978-3707
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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 | 03338336
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License Number State | OH
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