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General NPI Number Information
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NPI Number | 1942246863
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Entity Type | Organization
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Legal Business Name | WORTHINGTON INDUSTRIES MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 1250 DEARBORN DR
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City | WORTHINGTON
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State | OH
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Zip | 43085-4767
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Country | US
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Telephone | 614-840-3571
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Fax | 866-690-8967
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Provider Business Mailing Address
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Address Line | 1250 DEARBORN DR
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City | COLUMBUS
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State | OH
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Zip | 43085-4767
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Country | US
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Telephone | 614-840-3571
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Fax | 866-690-8967
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | KELLI CHILES
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Credential | RPH
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Telephone | 614-840-3537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | OH299
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | P02500
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 64000225A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 254-043
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 4973
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 11168
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 054-014393
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PH17473
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 22-02960
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License Number State | KS
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Taxonomy #10
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 0222116750
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License Number State | OH
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Taxonomy #11
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 110732
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License Number State | AL
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