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General NPI Number Information
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NPI Number | 1811212798
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Entity Type | Organization
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Legal Business Name | NEW NARRATIVE PHARMACY
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 121 NE 102ND AVE SUITE 125 BLDG III
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City | PORTLAND
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State | OR
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Zip | 97220
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Country | US
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Telephone | 503-597-3904
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Fax | 503-597-3905
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Provider Business Mailing Address
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Address Line | 121 NE 102ND AVE SUITE 125 BLDG III
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City | PORTLAND
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State | OR
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Zip | 97220
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Country | US
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Telephone | 503-597-3904
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Fax | 503-597-3905
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Authorized Official
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Title or Position | PIC
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Name | ROBERT JOHN GRIMM
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Credential | RPH
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Telephone | 503-597-3904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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