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General NPI Number Information
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NPI Number | 1427038041
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Entity Type | Individual
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Provider Name | JAMES EDWARD CLAREY RPH
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3960 44TH ST SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-2420
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Country | US
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Telephone | 616-534-9649
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Fax |
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Provider Business Mailing Address
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Address Line | 5178 OLSEN SPRINGS CT SW
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City | WYOMING
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State | MI
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Zip | 49509-9757
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Country | US
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Telephone | 616-531-4748
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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 | 5302020772
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License Number State | MI
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