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General NPI Number Information
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NPI Number | 1366521031
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Entity Type | Organization
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Legal Business Name | G AND R FELPAUSCH COMPANY
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2105 W MICHIGAN AVE
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City | JACKSON
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State | MI
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Zip | 49202-4011
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Country | US
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Telephone | 517-787-1418
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Fax | 517-787-8540
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Provider Business Mailing Address
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Address Line | 127 S MICHIGAN AVE
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City | HASTINGS
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State | MI
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Zip | 49058-1830
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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 | CEO AND SECRETARY
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Name | MARK FELPAUSCH
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Credential |
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Telephone | 269-948-3467
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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 | 5301006394
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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