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General NPI Number Information
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NPI Number | 1144932294
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Entity Type | Individual
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Provider Name | MRS. BLAGOVESTA ORMANOVA
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Gender | Female
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 14313 GREENFIELD RD
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City | DETROIT
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State | MI
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Zip | 48227-2107
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Country | US
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Telephone | 313-969-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 3775 WOODWARD BLVD
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City | WINDSOR
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State | ON
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Zip | N8W2Z1
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Country | CA
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302414814
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License Number State | MI
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