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General NPI Number Information
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NPI Number | 1578642765
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Entity Type | Individual
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Provider Name | JAIME CATHERINE SPELLMAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 4000 HIGHLAND RD SUITE 113
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City | WATERFORD
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State | MI
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Zip | 48328-2167
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Country | US
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Telephone | 248-977-1394
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Fax | 248-977-1395
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Provider Business Mailing Address
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Address Line | 4000 HIGHLAND RD SUITE 113
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City | WATERFORD
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State | MI
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Zip | 48328-2167
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Country | US
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Telephone | 866-850-6567
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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 | 5302033595
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5302033595
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License Number State | MI
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