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General NPI Number Information
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NPI Number | 1235331653
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Entity Type | Individual
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Provider Name | DAVID WILPULA PHARM.D., BCPS
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Gender | Male
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 18101 OAKWOOD BLVD
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City | DEARBORN
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State | MI
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Zip | 48124-4089
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Country | US
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Telephone | 313-996-7293
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Fax | 313-593-8823
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Provider Business Mailing Address
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Address Line | 30254 WESTGATE RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2347
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Country | US
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Telephone | 248-539-0524
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Fax | 313-593-8823
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5302034721
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP437847
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License Number State | PA
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