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General NPI Number Information
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NPI Number | 1295479491
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Entity Type | Individual
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Provider Name | ALLISON RENEE EGGERS
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Gender | Female
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Dates
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Enumeration Date | 04/24/2022
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Last Update Date | 04/24/2022
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Provider Practice Location Address
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Address Line | 22600 GRATIOT AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-2313
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Country | US
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Telephone | 586-772-6699
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Fax | 586-772-1339
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Provider Business Mailing Address
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Address Line | 22600 GRATIOT AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-2313
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Country | US
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Telephone | 586-772-6699
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Fax | 586-772-1339
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 5303041462
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License Number State | MI
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