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General NPI Number Information
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NPI Number | 1447724281
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Entity Type | Organization
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Legal Business Name | SCHAEFER TRUDELL
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | 5711 SCHAEFER RD # B
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City | DEARBORN
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State | MI
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Zip | 48126-2290
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Country | US
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Telephone | 313-581-2424
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Fax | 313-581-2193
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Provider Business Mailing Address
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Address Line | 5711 SCHAEFER RD STE B
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City | DEARBORN
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State | MI
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Zip | 48126-2290
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Country | US
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Telephone | 313-581-2424
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Fax | 313-581-2193
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Authorized Official
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Title or Position | PRESIDENT
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Name | SARAH A BEYDOUN
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Credential |
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Telephone | 313-581-2424
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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 |
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