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General NPI Number Information
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NPI Number | 1225463193
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Entity Type | Individual
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Provider Name | SHALYN GREGSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 4401 CAMPUS RIDGE DR STE C1100
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City | MIDLAND
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State | MI
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Zip | 48640-6112
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Country | US
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Telephone | 989-837-9457
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Fax |
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Provider Business Mailing Address
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Address Line | 5720 N STONEMILL CT
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City | MIDLAND
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State | MI
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Zip | 48640-3120
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Country | US
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Telephone | 585-802-9339
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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 | RP448181
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License Number State | PA
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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 | 5302044586
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License Number State | MI
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