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General NPI Number Information
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NPI Number | 1447536545
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Entity Type | Individual
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Provider Name | MICHELLE LITTIG RPH
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Gender | Female
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 2401 RIDGE RD
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City | HIGHLAND
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State | IN
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Zip | 46322-1565
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Country | US
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Telephone | 219-838-1412
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Fax |
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Provider Business Mailing Address
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Address Line | 6525 MARSHALL AVE
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City | HAMMOND
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State | IN
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Zip | 46323-1524
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Country | US
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Telephone | 219-844-3187
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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 | 051288451
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26020987A
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License Number State | IN
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