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General NPI Number Information
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NPI Number | 1366484933
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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 | 06/11/2006
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 4260 PLYMOUTH RD
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City | ANN ARBOR
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State | MI
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Zip | 48109-2700
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Country | US
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Telephone | 734-647-5705
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Fax | 734-232-3408
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Provider Business Mailing Address
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Address Line | PO BOX 223010
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City | PITTSBURGH
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State | PA
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Zip | 15251-2010
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Country | US
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Telephone | 734-647-5705
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Fax | 734-232-3408
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID SPAHLINGER
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301006480
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License Number State | MI
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