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General NPI Number Information
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NPI Number | 1386265825
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Entity Type | Individual
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Provider Name | JOSEPH E GUIDOS III PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 18697 BAGLEY RD
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City | CLEVELAND
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State | OH
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Zip | 44130-3417
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Country | US
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Telephone | 440-816-8788
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Fax |
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Provider Business Mailing Address
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Address Line | 1067 SHAWNEE CT
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City | VERMILION
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State | OH
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Zip | 44089-3329
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Country | US
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Telephone | 330-402-2100
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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 | 03230141
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License Number State | OH
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