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General NPI Number Information
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NPI Number | 1578645164
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Entity Type | Organization
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Legal Business Name | NJC PRESCRIPTIONS
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 3350 CLEVELAND AVE STE 1964
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City | COLUMBUS
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State | OH
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Zip | 43224-3677
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Country | US
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Telephone | 614-262-8970
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Fax | 614-262-8977
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Provider Business Mailing Address
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Address Line | 3350 CLEVELAND AVE STE 1964
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City | COLUMBUS
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State | OH
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Zip | 43224-3677
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Country | US
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Telephone | 614-262-8970
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Fax | 614-262-8977
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Authorized Official
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Title or Position | OWNER
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Name | DALE THOMAS COCHRAN
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Credential |
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Telephone | 614-262-8970
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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 | 021395750
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License Number State | OH
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