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General NPI Number Information
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NPI Number | 1467538785
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Entity Type | Individual
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Provider Name | IHSAN Y ALKAMANO RPH
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Gender | Male
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Dates
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Enumeration Date | 10/29/2006
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 4058 W JEFFERSON AVE
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City | ECORSE
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State | MI
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Zip | 48229-1749
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Country | US
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Telephone | 313-928-2700
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Fax | 313-928-5159
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Provider Business Mailing Address
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Address Line | 1995 LONE PINE RD
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-2522
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Country | US
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Telephone | 248-909-6572
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Fax | 313-928-5159
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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 | 5302027308
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License Number State | MI
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