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General NPI Number Information
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NPI Number | 1083045678
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Entity Type | Individual
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Provider Name | MICHELLE SCHLUETER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2013
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 200 W ARBOR DR # 8765
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City | SAN DIEGO
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State | CA
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Zip | 92103-1911
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Country | US
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Telephone | 858-657-8246
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 480
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City | APO
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State | AE
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Zip | 09107
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Country | US
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Telephone | 314-590-1688
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 61276
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License Number State | CA
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