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General NPI Number Information
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NPI Number | 1154427433
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Entity Type | Individual
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Provider Name | MICHAEL S SPRAGUE PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 12/19/2012
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Provider Practice Location Address
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Address Line | 1801 WESTWIND DR PHARMACY (119)
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3028
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Country | US
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Telephone | 661-632-1869
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Fax | 661-632-1857
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Provider Business Mailing Address
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Address Line | 5515 BRIGADOON LN
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City | BAKERSFIELD
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State | CA
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Zip | 93312-1955
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Country | US
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Telephone | 661-587-9656
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Fax | 661-587-9656
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH49750
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License Number State | CA
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