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General NPI Number Information
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NPI Number | 1295360907
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Entity Type | Individual
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Provider Name | CANDACE SILVOLA RPH
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Gender | Female
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 03/03/2020
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Provider Practice Location Address
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Address Line | 1007 MEMORIAL DR
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City | HOUGHTON
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State | MI
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Zip | 49931
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Country | US
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Telephone | 906-231-8007
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Fax | 906-231-8008
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Provider Business Mailing Address
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Address Line | 1660 W QUINCY ST
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City | HANCOCK
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State | MI
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Zip | 49930-1225
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Country | US
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Telephone | 906-281-5294
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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 | 5302027356
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License Number State | MI
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