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General NPI Number Information
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NPI Number | 1558961763
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Entity Type | Individual
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Provider Name | DUSTYN DANIEL THONEY
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Gender | Male
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 530 HARDING AVE
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City | IRON RIVER
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State | MI
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Zip | 49935-2265
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Country | US
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Telephone | 906-367-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 530 HARDING AVE
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City | IRON RIVER
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State | MI
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Zip | 49935-2265
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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