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General NPI Number Information
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NPI Number | 1508816612
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Entity Type | Individual
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Provider Name | ROSEANNE ELIZABETH PAGLIA PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 22151 MOROSS RD ST. JOHN PROFESSIONAL BUILDING PHARMACY, SUITE G25
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City | DETROIT
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State | MI
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Zip | 48236-2167
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Country | US
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Telephone | 313-343-3945
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Fax |
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Provider Business Mailing Address
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Address Line | 829 RIVARD BLVD
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City | GROSSE POINTE
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State | MI
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Zip | 48230-1256
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Country | US
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Telephone | 313-417-0909
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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 | 5302027949
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License Number State | MI
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