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General NPI Number Information
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NPI Number | 1164053021
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Entity Type | Individual
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Provider Name | MICHELLE LOREE BAYER RPH
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Gender | Female
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 4816 N ADAMS RD
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City | OAKLAND TOWNSHIP
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State | MI
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Zip | 48306-1415
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Country | US
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Telephone | 248-276-5063
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Fax |
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Provider Business Mailing Address
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Address Line | 4816 N ADAMS RD
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City | OAKLAND TOWNSHIP
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State | MI
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Zip | 48306-1415
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Country | US
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Telephone | 248-276-5063
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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 | 5302032354
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License Number State | MI
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