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General NPI Number Information
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NPI Number | 1750906905
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Entity Type | Individual
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Provider Name | MARTHA MORGAN ALLEN RPH
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Gender | Female
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Dates
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Enumeration Date | 06/13/2020
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Last Update Date | 06/13/2020
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Provider Practice Location Address
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Address Line | 8060 S MASON MONTGOMERY RD
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City | MASON
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State | OH
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Zip | 45040-9597
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Country | US
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Telephone | 513-770-5587
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Fax | 513-770-0657
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Provider Business Mailing Address
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Address Line | 8060 S MASON MONTGOMERY RD
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City | MASON
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State | OH
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Zip | 45040-9597
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Country | US
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Telephone | 513-770-5587
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Fax | 513-770-0657
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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 | 26015593A
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License Number State | IN
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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 | 03116305
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License Number State | OH
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