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General NPI Number Information
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NPI Number | 1467751065
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Entity Type | Individual
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Provider Name | PATRICIA LYNNE MICHAEL R.PH.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 4598 STATE ST
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City | SAGINAW
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State | MI
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Zip | 48603-3803
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Country | US
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Telephone | 989-792-3451
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Fax |
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Provider Business Mailing Address
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Address Line | 18479 EDERER RD
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City | HEMLOCK
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State | MI
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Zip | 48626-9775
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Country | US
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Telephone | 989-642-4871
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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 | 5302026969
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License Number State | MI
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