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General NPI Number Information
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NPI Number | 1386403749
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Entity Type | Individual
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Provider Name | MS. RIVIAN MAROUGI
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Gender | Female
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 34774 DEQUINDRE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310
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Country | US
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Telephone | 248-662-8024
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Fax |
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Provider Business Mailing Address
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Address Line | 47847 DAISY DR
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City | MACOMB
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State | MI
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Zip | 48044-2208
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Country | US
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Telephone | 586-846-7503
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | MI
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