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General NPI Number Information
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NPI Number | 1619524121
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Entity Type | Individual
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Provider Name | JASON MAKII PHARMD, MBA
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Gender | Male
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE MATHER B400
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-844-0314
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Fax | 216-844-3152
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Provider Business Mailing Address
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Address Line | 11100 EUCLID AVE MATHER B400
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-844-0314
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Fax | 216-844-3152
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 03227763
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License Number State | OH
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