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General NPI Number Information
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NPI Number | 1528019957
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Entity Type | Organization
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Legal Business Name | VPH PHARMACY
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 5376 MILLER RD
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-1511
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Country | US
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Telephone | 810-877-7170
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Fax | 810-733-1820
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Provider Business Mailing Address
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Address Line | 5376 MILLER RD
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-1511
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Country | US
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Telephone | 810-877-7170
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Fax | 810-733-1820
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Authorized Official
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Title or Position | OWNER
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Name | NANDAN PATEL
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Credential |
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Telephone | 734-673-7829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 5301009617
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License Number State | MI
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