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General NPI Number Information
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NPI Number | 1518063429
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2213 CHERRY ST
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City | TOLEDO
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State | OH
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Zip | 43608-2603
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Country | US
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Telephone | 419-251-4780
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 639922
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City | CINCINNATI
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State | OH
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Zip | 45263-9922
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Country | US
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Telephone | 419-251-4780
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Fax |
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Authorized Official
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Title or Position | SYSTEM DIRECTOR
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Name | KIMBERLY RALSTON
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Credential |
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Telephone | 419-996-5119
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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 | OH
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