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General NPI Number Information
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NPI Number | 1841241049
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Entity Type | Organization
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Legal Business Name | ALLENS PHARMASERV INC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 520 GYPSY LN
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1315
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Country | US
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Telephone | 330-744-0707
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Fax | 330-744-1244
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Provider Business Mailing Address
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Address Line | PO BOX 2208
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-0208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN MIRKIN
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Credential |
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Telephone | 330-744-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 020633750
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License Number State | OH
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