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General NPI Number Information
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NPI Number | 1497776462
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Entity Type | Organization
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Legal Business Name | BETHESDA HOSPITAL INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 100 ARROW SPRINGS BLVD
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City | LEBANON
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State | OH
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Zip | 45036-7002
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Country | US
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Telephone | 513-282-7020
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Fax | 513-282-7021
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Provider Business Mailing Address
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Address Line | 100 ARROW SPRINGS BLVD
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City | LEBANON
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State | OH
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Zip | 45036-7002
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Country | US
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Telephone | 513-282-7020
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Fax | 513-282-7021
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | LEONARD KAES
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Credential |
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Telephone | 513-872-3550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | CLPH02028030003
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License Number State | OH
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