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General NPI Number Information
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NPI Number | 1376147447
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Entity Type | Individual
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Provider Name | JONATHAN HARRAND PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 11/29/2020
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Provider Practice Location Address
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Address Line | 1451 YAUGER RD STE 1H
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City | MOUNT VERNON
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State | OH
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Zip | 43050-7902
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Country | US
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Telephone | 740-397-1420
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Fax |
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Provider Business Mailing Address
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Address Line | 14800 STATE ROUTE 739
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City | RICHWOOD
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State | OH
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Zip | 43344-9709
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Country | US
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Telephone | 740-262-8917
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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 | 03439255
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License Number State | OH
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