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General NPI Number Information
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NPI Number | 1407474844
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL OF UNION COUNTY
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 411 W 5TH ST
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City | MARYSVILLE
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State | OH
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Zip | 43040-1019
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Country | US
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Telephone | 937-644-1322
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Fax |
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Provider Business Mailing Address
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Address Line | 411 W 5TH ST
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City | MARYSVILLE
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State | OH
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Zip | 43040-1019
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Country | US
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Telephone | 937-644-1322
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Fax | 937-644-2360
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Authorized Official
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Title or Position | VP/CFO
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Name | JEFF EHLERS
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Credential |
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Telephone | 937-578-2344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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