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General NPI Number Information
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NPI Number | 1093213399
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Entity Type | Organization
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Legal Business Name | OFP INC
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 24224 JOY RD STE 103
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City | REDFORD
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State | MI
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Zip | 48239-1215
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Country | US
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Telephone | 313-532-4000
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Fax | 313-532-4241
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Provider Business Mailing Address
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Address Line | 24224 JOY RD STE 103
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City | REDFORD
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State | MI
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Zip | 48239-1215
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Country | US
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Telephone | 313-532-4000
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Fax | 313-532-4241
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OSAMA M FAKIH
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Credential | PHARMACIST
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Telephone | 313-532-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 5301010647
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License Number State | MI
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