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General NPI Number Information
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NPI Number | 1063758084
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Entity Type | Individual
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Provider Name | MICHAEL R. HOVIS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/19/2012
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 4908A MOORES MILL RD
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City | HUNTSVILLE
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State | AL
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Zip | 35811-1512
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Country | US
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Telephone | 219-240-7793
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Fax |
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Provider Business Mailing Address
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Address Line | 196 SAWMILL RD
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City | HUNTSVILLE
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State | AL
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Zip | 35811-8506
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Country | US
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Telephone | 219-240-7793
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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 | 051295540
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26021170A
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License Number State | IN
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