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General NPI Number Information
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NPI Number | 1447660329
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Entity Type | Individual
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Provider Name | JARED HEATH SMITH PHARMD, RPH
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Gender | Male
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 05/01/2014
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Provider Practice Location Address
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Address Line | 1391 CONANT ST
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City | MAUMEE
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State | OH
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Zip | 43537-1609
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Country | US
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Telephone | 419-891-8710
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Fax |
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Provider Business Mailing Address
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Address Line | 2409 WESTMOOR RD
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City | FINDLAY
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State | OH
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Zip | 45840-2847
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Country | US
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Telephone | 419-348-5193
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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 | RPH03232897
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License Number State | OH
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