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General NPI Number Information
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NPI Number | 1578003117
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Entity Type | Individual
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Provider Name | KRISTEN ELIZABETH OSS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 36600 VAN DYKE AVE
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-2766
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Country | US
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Telephone | 586-274-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 13648 RIVERWOOD DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-5659
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Country | US
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Telephone | 586-212-7340
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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 | 5302042503
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License Number State | MI
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