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General NPI Number Information
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NPI Number | 1255874384
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Entity Type | Organization
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Legal Business Name | HADY ENTERPRISES INC
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 1513 S CENTER RD
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City | BURTON
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State | MI
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Zip | 48509-1728
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Country | US
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Telephone | 810-309-3209
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Fax | 810-221-7356
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Provider Business Mailing Address
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Address Line | 1513 S CENTER RD
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City | BURTON
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State | MI
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Zip | 48509-1728
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Country | US
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Telephone | 810-309-3209
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | AHMAD KAML ALOUH
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Credential |
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Telephone | 810-728-5048
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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 | 5301011058
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License Number State | MI
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