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General NPI Number Information
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NPI Number | 1568595643
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Entity Type | Individual
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Provider Name | FARAH GABRIAL HADO RPH
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 49900 GRAND RIVER AVE
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City | WIXOM
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State | MI
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Zip | 48393-3308
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Country | US
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Telephone | 248-449-8510
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Fax | 248-449-8565
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Provider Business Mailing Address
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Address Line | 30661 ARDMORE CT
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City | NOVI
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State | MI
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Zip | 48377-4108
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Country | US
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Telephone | 248-926-0936
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Fax | 248-449-8565
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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 | 5302030436
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License Number State | MI
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