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General NPI Number Information
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NPI Number | 1184826166
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Entity Type | Individual
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Provider Name | RITA O COLEMAN RPH
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1900 E 8 MILE RD
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City | DETROIT
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State | MI
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Zip | 48234-1008
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Country | US
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Telephone | 313-892-4600
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Fax | 313-892-3753
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Provider Business Mailing Address
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Address Line | 1584 STIRLING LAKES DR
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City | PONTIAC
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State | MI
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Zip | 48340-1373
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Country | US
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Telephone | 313-587-2398
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Fax | 248-475-0971
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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 | 5302031675
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License Number State | MI
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