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General NPI Number Information
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NPI Number | 1013458033
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Entity Type | Individual
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Provider Name | LOUIS GHIRINGHELLI
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Gender | Male
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 124 AMES ST
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City | ELK RAPIDS
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State | MI
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Zip | 49629-9449
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Country | US
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Telephone | 231-264-8165
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Fax | 231-264-0234
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Provider Business Mailing Address
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Address Line | 10535 LAKESHORE RD
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City | WILLIAMSBURG
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State | MI
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Zip | 49690-9420
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Country | US
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Telephone | 231-633-4478
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Fax | 231-264-0234
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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 | 5302021644
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License Number State | MI
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