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General NPI Number Information
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NPI Number | 1033430129
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Entity Type | Individual
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Provider Name | LAWRENCE R SINDELAR JR. RPH
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Gender | Male
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Dates
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Enumeration Date | 06/12/2010
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Last Update Date | 06/12/2010
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Provider Practice Location Address
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Address Line | 67300 S MAIN ST
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City | RICHMOND
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State | MI
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Zip | 48062-1920
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Country | US
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Telephone | 586-727-2754
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Fax | 586-727-9599
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Provider Business Mailing Address
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Address Line | 7221 RENWOOD CT
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City | WASHINGTON
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State | MI
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Zip | 48095-1243
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Country | US
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Telephone | 586-752-9040
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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 | 20828
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License Number State | MI
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