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General NPI Number Information
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NPI Number | 1437737657
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Entity Type | Organization
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Legal Business Name | STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 47901 SUGARBUSH RD
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City | CHESTERFIELD
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State | MI
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Zip | 48047-2243
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Country | US
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Telephone | 586-210-7102
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Fax | 586-210-7176
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Provider Business Mailing Address
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Address Line | 47901 SUGARBUSH RD
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City | CHESTERFIELD
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State | MI
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Zip | 48047-2243
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Country | US
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Telephone | 586-210-7102
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Fax | 586-210-7176
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Authorized Official
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Title or Position | VP OF BUSINESS SERVICES
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Name | MELISSA VELIE
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Credential |
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Telephone | 517-275-1183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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