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General NPI Number Information
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NPI Number | 1780763276
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Entity Type | Organization
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Legal Business Name | GIPS CO INVESTMENT CORP
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 3216 SILSBY RD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-3428
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Country | US
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Telephone | 216-321-4300
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Fax | 213-321-4303
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Provider Business Mailing Address
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Address Line | 3216 SILSBY RD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-3428
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Country | US
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Telephone | 216-321-4300
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Fax | 213-321-4303
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | ROBERT WRIGHT
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Credential | RPH
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Telephone | 216-321-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 02-0620450
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License Number State | OH
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