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General NPI Number Information
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NPI Number | 1437324522
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Entity Type | Organization
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Legal Business Name | SKILLED CARE PHARMACY,LLC
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 6175 HI TEK CT
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City | MASON
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State | OH
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Zip | 45040-2603
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Country | US
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Telephone | 513-459-7455
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Fax | 800-786-9419
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Provider Business Mailing Address
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Address Line | 6175 HI TEK COURT
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City | MASON
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State | OH
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Zip | 45040
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Country | US
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Telephone | 513-459-7455
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Fax | 800-786-9419
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANCIS LAWRENCE GALLUZZO
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Credential | R.PH
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Telephone | 513-459-7455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 022280050
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License Number State | OH
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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 | 022280050
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License Number State | OH
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