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General NPI Number Information
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NPI Number | 1477554095
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Entity Type | Individual
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Provider Name | DOUGLAS CALVIN ANDERSON JR. PHARM.D., D.PH.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2005
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | OSCODA VA CLINIC 5671 N SKEEL AVE
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City | OSCODA TWP
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State | MI
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Zip | 48750-1535
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Country | US
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Telephone | 989-497-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 9702A 7TH ST
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City | OSCODA
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State | MI
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Zip | 48750-1937
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Country | US
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Telephone | 937-668-4579
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Fax | 815-425-7982
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 10855
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License Number State | OK
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