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General NPI Number Information
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NPI Number | 1487908851
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Entity Type | Organization
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Legal Business Name | CENTURY MULTIPURPOSE SERVICES,LLC
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 28792 RYAN RD
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City | WARREN
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State | MI
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Zip | 48092-2521
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Country | US
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Telephone | 586-510-4252
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Fax | 586-510-4166
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Provider Business Mailing Address
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Address Line | 28792 RYAN RD
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City | WARREN
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State | MI
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Zip | 48092-2521
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Country | US
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Telephone | 586-510-4252
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Fax | 586-510-4166
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Authorized Official
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Title or Position | PARTNER & CHIEF PHARMACIST
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Name | MR. MOHAMMED ABDUL MATIN
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Credential | PHARMACIST
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Telephone | 586-510-4252
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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 | 5301009946
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License Number State | MI
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