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General NPI Number Information
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NPI Number | 1255721411
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Entity Type | Organization
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Legal Business Name | AXION INC
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 12/17/2015
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Provider Practice Location Address
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Address Line | 8139 E 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48234-3626
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Country | US
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Telephone | 313-891-2335
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Fax | 313-891-2331
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Provider Business Mailing Address
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Address Line | 8139 E 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48234-3626
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Country | US
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Telephone | 313-891-2335
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | JUDE OBIAKOR
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Credential |
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Telephone | 313-891-2335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301010606
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License Number State | MI
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