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General NPI Number Information
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NPI Number | 1518123918
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Entity Type | Organization
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Legal Business Name | CPP MEDICATION MANAGEMENT LLC
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 1020 HIGH ST STE B
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City | WORTHINGTON
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State | OH
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Zip | 43085-4014
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Country | US
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Telephone | 614-294-1653
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Fax | 614-294-1654
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Provider Business Mailing Address
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Address Line | 999 GOODALE BLVD
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City | COLUMBUS
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State | OH
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Zip | 43212-3826
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Country | US
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Telephone | 614-294-1600
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Fax | 614-294-1661
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Authorized Official
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Title or Position | MEMBER
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Name | NICHOLAS KALOGERAS
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Credential | RPH
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Telephone | 614-294-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | SP.021878250 02
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License Number State | OH
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