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General NPI Number Information
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NPI Number | 1770185357
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Entity Type | Individual
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Provider Name | DOUGLAS JAY FOLKENS RPH
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Gender | Male
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 10240 COLERAIN AVE
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City | CINCINNATI
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State | OH
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Zip | 45251-4904
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Country | US
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Telephone | 513-385-0758
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Fax | 513-385-0789
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Provider Business Mailing Address
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Address Line | 845 ASCOT DR
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City | MAINEVILLE
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State | OH
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Zip | 45039-7503
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Country | US
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Telephone | 513-304-8781
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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 | 03119042
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License Number State | OH
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