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General NPI Number Information
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NPI Number | 1962391094
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Entity Type | Individual
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Provider Name | MATTHEW WILLIAM BOHLANDER PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 3086 MADISON RD
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City | CINCINNATI
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State | OH
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Zip | 45209-1723
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Country | US
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Telephone | 513-321-9980
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Fax |
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Provider Business Mailing Address
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Address Line | 1668 HICKORY THICKET DR
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City | MILFORD
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State | OH
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Zip | 45150-9785
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Country | US
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Telephone | 513-430-5597
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Fax |
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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 | 03445454
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License Number State | OH
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