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General NPI Number Information
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NPI Number | 1578620969
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Entity Type | Individual
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Provider Name | BRADLEY JAMES HEIM RPH
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 224 W EXCHANGE ST.
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City | AKRON
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State | OH
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Zip | 44302
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Country | US
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Telephone | 330-344-6159
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Fax | 330-253-3651
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Provider Business Mailing Address
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Address Line | 136 FOX RIDGE WAY
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City | TALLMADGE
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State | OH
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Zip | 44278
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Country | US
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Telephone | 330-630-2591
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Fax | 330-253-3651
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 03313325
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License Number State | OH
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