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General NPI Number Information
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NPI Number | 1366846560
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Entity Type | Individual
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Provider Name | TIMOTHY M BURKART PHARM D (RPH)
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Gender | Male
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Dates
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Enumeration Date | 10/16/2014
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 1840 E. GYPSY LANE RD (WOOD COUNTY HEALTH DEPARTMENT)
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City | BOWLING GREEN
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State | OH
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Zip | 43402
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Country | US
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Telephone | 866-861-9338
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 NORTH MAIN STREET
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City | FINDLAY
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State | OH
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Zip | 45840
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Country | US
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Telephone | 419-434-5783
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Fax | 419-434-5583
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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 | 03-1-27284
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 03-1-27284
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 03-1-27284
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 03-1-27284
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License Number State | OH
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