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General NPI Number Information
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NPI Number | 1558513580
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Entity Type | Organization
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Legal Business Name | DIEKMANN & HARE ENTERPRISES, INC.
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 10/27/2008
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Provider Practice Location Address
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Address Line | 963 CHERRY ST E
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City | CANAL FULTON
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State | OH
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Zip | 44614-9609
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Country | US
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Telephone | 330-854-4949
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Fax | 330-854-1919
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Provider Business Mailing Address
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Address Line | 963 CHERRY ST E
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City | CANAL FULTON
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State | OH
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Zip | 44614-9609
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Country | US
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Telephone | 330-854-4949
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Fax | 330-854-1919
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Authorized Official
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Title or Position | PHARMACIST
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Name | DONALD GLENN HARE JR.
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Credential | RPH
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Telephone | 330-854-4949
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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 | 020145800
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License Number State | OH
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