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General NPI Number Information
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NPI Number | 1912055484
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Entity Type | Organization
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Legal Business Name | CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 215 W BOWERY ST RM C3220
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City | AKRON
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State | OH
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Zip | 44308-1069
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Country | US
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Telephone | 330-543-8322
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Fax | 330-543-3042
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Provider Business Mailing Address
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Address Line | 1 PERKINS SQ
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City | AKRON
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State | OH
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Zip | 44308-1063
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Country | US
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Telephone | 330-543-8322
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Fax | 330-543-3042
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Authorized Official
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Title or Position | DIRECTOR REIMBURSEMENT
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Name | GLEN RICHARD DAVIS
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Credential |
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Telephone | 330-543-4166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail 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 | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 020616250
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License Number State | OH
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