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General NPI Number Information
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NPI Number | 1134320302
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Entity Type | Individual
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Provider Name | KELLY MARIE AMREIN PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1533 E CHICAGO RD.
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City | STURGIS
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State | MI
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Zip | 49091
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Country | US
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Telephone | 269-659-4600
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Fax | 269-659-3608
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Provider Business Mailing Address
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Address Line | 25493 SCHRADER RD
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City | STURGIS
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State | MI
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Zip | 49091-9305
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Country | US
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Telephone | 269-659-2401
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Fax | 269-659-3608
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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 | 5302034862
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License Number State | MI
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