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General NPI Number Information
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NPI Number | 1093912156
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Entity Type | Individual
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Provider Name | RICK J GERMAIN RPH
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Gender | Male
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2474 W HILL RD
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City | FLINT
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State | MI
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Zip | 48507-3821
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Country | US
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Telephone | 810-766-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 3053 NICHOLS RD
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City | LENNON
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State | MI
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Zip | 48449-9328
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Country | US
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Telephone | 810-621-9489
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Fax | 810-766-8333
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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 | 5302024359
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License Number State | MI
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