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General NPI Number Information
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NPI Number | 1578273157
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Entity Type | Individual
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Provider Name | CHRISTOPHER M BRINK PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 926 S MISSION ST
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-3548
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Country | US
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Telephone | 989-773-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 11010 ALPINE DR
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City | LAKE
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State | MI
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Zip | 48632-9725
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5315100951
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License Number State | MI
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