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General NPI Number Information
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NPI Number | 1710562400
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Entity Type | Individual
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Provider Name | RACHEL HODCZAK MARTIN RPH
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Gender | Female
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Dates
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Enumeration Date | 03/14/2021
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Last Update Date | 03/14/2021
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Provider Practice Location Address
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Address Line | 7235 MARKET PLACE DR
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City | AURORA
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State | OH
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Zip | 44202-8758
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Country | US
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Telephone | 330-562-7084
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Fax |
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Provider Business Mailing Address
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Address Line | 345 W HOMESTEAD DR
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City | AURORA
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State | OH
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Zip | 44202-6777
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Country | US
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Telephone | 330-592-9162
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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 | RP040941L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03324047
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License Number State | OH
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