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General NPI Number Information
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NPI Number | 1538220603
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Entity Type | Organization
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Legal Business Name | MAURER PHARMACY INC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 1827 CLEVELAND RD
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City | WOOSTER
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State | OH
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Zip | 44691-2205
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Country | US
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Telephone | 330-264-8479
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Fax | 330-262-2378
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Provider Business Mailing Address
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Address Line | 1827 CLEVELAND RD
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City | WOOSTER
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State | OH
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Zip | 44691-2205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | V-PRES
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Name | ANDREW MATHIS
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Credential |
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Telephone | 330-264-8479
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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 | 020106650
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License Number State | OH
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