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General NPI Number Information
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NPI Number | 1902995921
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Entity Type | Individual
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Provider Name | RODNEY RAY MAST RPH
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4925 WEST MAIN STREET
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City | BERLIN
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State | OH
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Zip | 44610
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Country | US
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Telephone | 330-893-3179
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Fax | 330-893-3019
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Provider Business Mailing Address
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Address Line | 4805 TR 366 UNIT 263
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City | MILLERSBURG
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State | OH
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Zip | 44654
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Country | US
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Telephone | 330-893-2547
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Fax | 330-893-9933
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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 |
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License Number State | OH
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