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General NPI Number Information
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NPI Number | 1255447413
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Entity Type | Individual
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Provider Name | THOMAS F ROLANDS RPH
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 30551 STEPHENSON HWY SUITE A
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1645
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Country | US
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Telephone | 248-291-3339
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Fax | 248-721-8028
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Provider Business Mailing Address
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Address Line | 1651 ROSS DR
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City | TROY
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State | MI
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Zip | 48084-1401
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Country | US
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Telephone | 248-643-8309
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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 | 5302020199
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License Number State | MI
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