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General NPI Number Information
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NPI Number | 1093345282
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Entity Type | Individual
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Provider Name | LISA MARIE WEHR PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/16/2020
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 2215 FULLER RD
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City | ANN ARBOR
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State | MI
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Zip | 48105-2303
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Country | US
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Telephone | 734-845-5588
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Fax |
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Provider Business Mailing Address
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Address Line | 2181 STONEBRIDGE DR S
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City | ANN ARBOR
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State | MI
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Zip | 48108-8647
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Country | US
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Telephone | 734-905-3601
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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 | 332100000X
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Taxonomy Name | Department of Veterans Affairs (VA) Pharmacy
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License Number |
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License Number State | MI
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