{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "MEDI RX CORP",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "6401 OLDE STONE XING",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POLAND",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44514-4203",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-757-8555",
"MailingAddressFaxNumber": "330-757-8550",
"FirstLinePracticeLocationAddress": "6401 OLDE STONE XING",
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"PracticeLocationAddressCityName": "POLAND",
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"PracticeLocationAddressTelephoneNumber": "330-757-8555",
"PracticeLocationAddressFaxNumber": "330-757-8550",
"EnumerationDate": "09/21/2006",
"LastUpdateDate": "02/20/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DURAN",
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"AuthorizedOfficialTelephoneNumber": "330-757-8555",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336L0003X",
"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": "020697100",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}