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General NPI Number Information
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NPI Number | 1487448551
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Entity Type | Individual
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Provider Name | MEREDITH BAUER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 3020 E ATHERTON RD
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City | BURTON
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State | MI
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Zip | 48529-1002
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Country | US
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Telephone | 810-888-8004
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Fax |
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Provider Business Mailing Address
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Address Line | 2326 AMELIA
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City | HIGHLAND
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State | MI
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Zip | 48356-2100
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Country | US
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Telephone | 248-508-5404
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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 | 5302416946
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License Number State | MI
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