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General NPI Number Information
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NPI Number | 1144338518
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Entity Type | Organization
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Legal Business Name | RAQUEL INC
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Dates
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Enumeration Date | 08/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4163 15 MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-5400
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Country | US
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Telephone | 586-977-6044
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Fax | 586-977-3919
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Provider Business Mailing Address
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Address Line | 43155 W 9 MILE RD
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City | NOVI
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State | MI
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Zip | 48375-4117
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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 | MANAGER PHARMACY SERVICES
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Name | DAVID VALENTINE
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Credential |
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Telephone | 248-348-1570
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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 | 5301008266
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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