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General NPI Number Information
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NPI Number | 1265755458
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Entity Type | Individual
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Provider Name | DENISE ANNE YANKOVICH RPH
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Gender | Female
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 1100 S ROCHESTER RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3114
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Country | US
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Telephone | 248-652-9480
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Fax | 248-601-0396
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Provider Business Mailing Address
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Address Line | 54809 ALEXIS CT
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City | SHELBY TWP
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State | MI
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Zip | 48316-1360
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Country | US
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Telephone | 248-601-2928
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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 | 5302024221
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License Number State | MI
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