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General NPI Number Information
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NPI Number | 1750591525
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Entity Type | Individual
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Provider Name | REBECCA SHAEFER BLEDSOE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 324 WILMINGTON AVE DEPARTMENT OF PHARMACY
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City | DAYTON
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State | OH
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Zip | 45420-1890
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Country | US
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Telephone | 937-258-5496
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Fax |
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Provider Business Mailing Address
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Address Line | 3264 STREAMVIEW CT
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City | BELLBROOK
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State | OH
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Zip | 45305-8815
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Country | US
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Telephone | 814-935-7453
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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 | 23135138
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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 | 03-2-26459
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License Number State | OH
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