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General NPI Number Information
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NPI Number | 1306567011
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Entity Type | Individual
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Provider Name | ARIELLE MICHAEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 4250 RUSTY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63128-1973
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Country | US
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Telephone | 314-892-6428
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Fax |
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Provider Business Mailing Address
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Address Line | 610 HILLSBORO AVE
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-1819
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Country | US
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Telephone |
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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 | 2022034931
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License Number State | MO
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