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General NPI Number Information
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NPI Number | 1215952460
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Entity Type | Individual
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Provider Name | JOSHUA DENNER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 5603 BYRON CENTER AVE SW
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City | WYOMING
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State | MI
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Zip | 49519-8606
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Country | US
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Telephone | 616-530-2338
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Fax |
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Provider Business Mailing Address
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Address Line | 5269 QUEENSBURY DR SE
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City | KENTWOOD
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State | MI
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Zip | 49508-6368
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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 | 5302041682
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS36045
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051289332
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License Number State | IL
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