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General NPI Number Information
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NPI Number | 1518399930
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Entity Type | Individual
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Provider Name | MEGAN ANN MACHINIAK PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 8171 W HOUGHTON LAKE DR
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City | HOUGHTON LAKE
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State | MI
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Zip | 48629-9165
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Country | US
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Telephone | 989-422-6445
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Fax |
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Provider Business Mailing Address
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Address Line | 4614 CHERYL CT
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-1918
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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 |
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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 | 5302039575
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License Number State | MI
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