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General NPI Number Information
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NPI Number | 1174805543
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Entity Type | Individual
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Provider Name | ANULA THURUTHIKKARA RPH
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Gender | Female
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | 6331 E JEFFERSON AVE
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City | DETROIT
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State | MI
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Zip | 48207-4317
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Country | US
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Telephone | 313-567-4239
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Fax |
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Provider Business Mailing Address
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Address Line | 4283 CANBERRA AVE
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City | WINDSOR
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State | ONTARIO
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Zip | N9G 3E5
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Country | CA
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Telephone | 519-903-5682
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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 | 5302037726
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License Number State | MI
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