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General NPI Number Information
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NPI Number | 1417625773
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Entity Type | Organization
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Legal Business Name | GUARDIAN PHARMACY OF CINCINNATI, LLC
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 6096 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45213-1618
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Country | US
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Telephone | 513-587-6207
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Fax | 513-731-4407
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Provider Business Mailing Address
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Address Line | 6096 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45213-1618
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Country | US
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Telephone | 513-587-6207
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Fax | 513-731-4407
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | THOMAS MULLANEY
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Credential |
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Telephone | 513-587-6201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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