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General NPI Number Information
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NPI Number | 1063587798
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Entity Type | Individual
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Provider Name | SHEA BARBARA VANVUUREN PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 14650 EAST OLD US 12 CHELSEACARE PHARMACY
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City | CHELSEA
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State | MI
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Zip | 48118-1383
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Country | US
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Telephone | 734-593-5900
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Fax | 734-593-5905
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Provider Business Mailing Address
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Address Line | 16038 BLACK SHEEP LN
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City | MANCHESTER
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State | MI
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Zip | 48158-9480
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Country | US
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Telephone | 734-428-0230
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Fax | 734-593-5905
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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 | 5302029472
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License Number State | MI
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