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General NPI Number Information
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NPI Number | 1326096629
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Entity Type | Organization
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Legal Business Name | REGENTS OF THE UNIVERSITY OF MICHIGAN
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 2850 S. INDUSTRIAL HWY. SUITE 50
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City | ANN ARBOR
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State | MI
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Zip | 48104-9821
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Country | US
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Telephone | 734-975-3006
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Fax | 734-975-3079
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Provider Business Mailing Address
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Address Line | PO BOX 223248
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City | PITTSBURGH
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State | PA
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Zip | 15251-2248
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Country | US
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Telephone | 734-975-3006
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Fax | 734-975-3079
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID CHRISTOPHER MILLER
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Credential | MD
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Telephone | 734-936-3568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 5301005698
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 5301005698
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5301005698
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 5301005698
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301005698
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 5301005698
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License Number State | MI
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