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General NPI Number Information
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NPI Number | 1124600432
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Entity Type | Organization
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Legal Business Name | MIO PHARMACY LLC
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 207 S MORENCI AVE
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City | MIO
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State | MI
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Zip | 48647-2509
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Country | US
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Telephone | 989-876-8899
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1150
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City | AU GRES
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State | MI
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Zip | 48703-1150
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | TERESA JEAN SPIES
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Credential |
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Telephone | 989-876-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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