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General NPI Number Information
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NPI Number | 1538579206
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Entity Type | Individual
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Provider Name | JILL PALAZZOLO R.P.H.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 3175 S ROCHESTER RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-5042
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Country | US
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Telephone | 248-844-5033
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Fax | 248-844-5065
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Provider Business Mailing Address
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Address Line | 17749 CLOVER HILL DR
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City | MACOMB
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State | MI
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Zip | 48044-2076
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Country | US
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Telephone | 248-844-5033
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Fax | 248-844-5065
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5302031033
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License Number State | MI
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