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General NPI Number Information
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NPI Number | 1730215799
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 01/04/2016
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Provider Practice Location Address
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Address Line | 2751 O VARISTY WAY ROOM #335-A
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City | CINCINNATI
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State | OH
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Zip | 45221-0010
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Country | US
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Telephone | 513-556-6091
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Fax | 513-556-1523
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Provider Business Mailing Address
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Address Line | 2751 O VARISTY WAY ROOM #335-A
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City | CINCINNATI
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State | OH
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Zip | 45221-0010
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Country | US
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Telephone | 513-556-6091
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Fax | 513-556-1523
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Authorized Official
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Title or Position | VP PHARMACY SERVICES
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Name | MS. MICHELLE WIEST
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Credential | PHARMD,BCPS,FASHP
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Telephone | 513-585-8005
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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 | 02-1087400
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License Number State | OH
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