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General NPI Number Information
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NPI Number | 1922106954
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Entity Type | Organization
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Legal Business Name | MEDI RX CORP
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 6401 OLDE STONE XING
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City | POLAND
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State | OH
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Zip | 44514-4203
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Country | US
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Telephone | 330-757-8555
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Fax | 330-757-8550
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Provider Business Mailing Address
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Address Line | 6401 OLDE STONE XING
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City | POLAND
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State | OH
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Zip | 44514-4203
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Country | US
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Telephone | 330-757-8555
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Fax | 330-757-8550
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONALD DURAN
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Credential |
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Telephone | 330-757-8555
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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 | 020697100
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License Number State | OH
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