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General NPI Number Information
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NPI Number | 1295959195
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Entity Type | Individual
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Provider Name | AMY DWYER R.PH
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2544 MCLEOD DR N STE 2
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City | SAGINAW
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State | MI
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Zip | 48604-2854
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Country | US
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Telephone | 989-791-1691
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Fax |
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Provider Business Mailing Address
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Address Line | 8819 VALLEYVIEW CT
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City | SAGINAW
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State | MI
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Zip | 48609-9227
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Country | US
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Telephone | 989-781-4565
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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 | 5302027770
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License Number State | MI
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