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General NPI Number Information
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NPI Number | 1295952778
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Entity Type | Individual
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Provider Name | DALAL MAKRAM NASSIF RPH
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7358 SECOR RD
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City | LAMBERVILLE
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State | MI
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Zip | 48144
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Country | US
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Telephone | 734-856-7984
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Fax | 734-856-7984
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Provider Business Mailing Address
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Address Line | 5608 GOLDEN POND LN
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City | SYLVANIA
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State | OH
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Zip | 43560-9555
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Country | US
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Telephone | 419-824-5365
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Fax | 419-318-4392
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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 | 5302034107
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License Number State | MI
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