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General NPI Number Information
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NPI Number | 1205641131
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Entity Type | Individual
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Provider Name | KEIRAN NOELLE BUELL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 2929 WALKER AVE NW
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City | WALKER
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State | MI
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Zip | 49544-9428
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Country | US
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Telephone | 269-321-4310
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Fax |
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Provider Business Mailing Address
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Address Line | 6428 S 4TH ST
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City | KALAMAZOO
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State | MI
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Zip | 49009-9657
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Country | US
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Telephone |
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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 | 5302415216
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License Number State | MI
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