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General NPI Number Information
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NPI Number | 1073605028
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Entity Type | Individual
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Provider Name | JOHN WILSON KASER RPH
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 401 RIVER ST WEST
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City | MANISTEE
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State | MI
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Zip | 49660
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Country | US
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Telephone | 231-723-2586
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Fax | 231-723-6180
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Provider Business Mailing Address
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Address Line | 605 BROWNING AVE
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City | MANISTEE
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State | MI
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Zip | 49660
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Country | US
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Telephone | 231-723-5320
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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 | 21099
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License Number State | MI
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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 | 9637
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License Number State | WI
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