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General NPI Number Information
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NPI Number | 1588641625
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Entity Type | Organization
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Legal Business Name | D B O INCORPORATED
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 125 PILLOW ST
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City | BUTLER
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State | PA
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Zip | 16001-5619
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Country | US
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Telephone | 724-282-8446
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Fax | 724-282-1113
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Provider Business Mailing Address
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Address Line | 125 PILLOW ST
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City | BUTLER
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State | PA
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Zip | 16001-5619
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Country | US
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Telephone | 724-282-8446
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Fax | 724-282-1113
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT CHARLES OCVIRK
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Credential | RPH
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Telephone | 724-282-8446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP413643L
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License Number State | PA
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