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General NPI Number Information
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NPI Number | 1497912257
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Entity Type | Organization
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Legal Business Name | LINCOLN PHARMACY
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 9331 TELEGRAPH RD
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City | REDFORD
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State | MI
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Zip | 48239-1260
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Country | US
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Telephone | 313-592-9000
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Fax | 313-531-1122
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Provider Business Mailing Address
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Address Line | 9331 TELEGRAPH RD
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City | REDFORD
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State | MI
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Zip | 48239-1260
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HASSAN HAMID
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Credential | PHRMD
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Telephone | 313-999-6959
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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 | 5301008848
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License Number State | MI
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