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General NPI Number Information
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NPI Number | 1184836983
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Entity Type | Organization
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Legal Business Name | OAKLAND PHYSICANS MEDICAL CENTER
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 461 W HURON ST
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City | PONTIAC
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State | MI
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Zip | 48341-1601
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Country | US
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Telephone | 248-857-6771
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Fax | 248-857-6825
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Provider Business Mailing Address
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Address Line | 461 W HURON ST
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City | PONTIAC
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State | MI
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Zip | 48341-1601
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Country | US
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Telephone | 248-857-6771
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Fax | 248-857-6825
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | SHARELLE BROWN
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Credential |
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Telephone | 248-857-7319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 5301008974
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License Number State | MI
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