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General NPI Number Information
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NPI Number | 1871204081
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Entity Type | Organization
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Legal Business Name | COMMUNITY DRUG BOARD, INC
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 745 E MARKET ST
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City | AKRON
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State | OH
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Zip | 44305-2421
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Country | US
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Telephone | 330-315-3708
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Fax |
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Provider Business Mailing Address
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Address Line | 725 E MARKET ST
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City | AKRON
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State | OH
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Zip | 44305-2421
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Country | US
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Telephone | 330-315-3708
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MICHELLE A MARSHALL
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Credential |
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Telephone | 330-315-3708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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