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General NPI Number Information
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NPI Number | 1770878308
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Entity Type | Individual
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Provider Name | JAMES MATTHEW EADY MD, PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2011
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 615-681-6877
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 BURNET AVE
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 615-681-6877
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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 | 010504
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.153081
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License Number State | OH
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