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NPI 1659447308

NPI 1659447308 : GRETCHEN ANN BIRCH RPH : AKRON, OH

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General NPI Number Information
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    NPI Number           |    1659447308
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    Entity Type          |    Individual 
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    Provider Name        |    GRETCHEN ANN BIRCH RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/27/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    941 W NIMISILA RD 
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    City                 |    AKRON
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    State                |    OH
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    Zip                  |    44319
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    Country              |    US
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    Telephone            |    330-882-6767
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    Fax                  |    330-882-3422
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Provider Business Mailing Address
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    Address Line         |    1798 GREAT RUN LANE 
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    City                 |    AKRON
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    State                |    OH
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    Zip                  |    44333
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    Country              |    US
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    Telephone            |    330-670-6587
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    Fax                  |    
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    03-2-21085
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    License Number State |    OH
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