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General NPI Number Information
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NPI Number | 1578652095
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Entity Type | Individual
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Provider Name | ROBERT CHARLES TASKER RPH
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 730 N MACOMB STE 305 MERCY MEMORIAL MACOMB PHARMACY
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City | MONROE
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State | MI
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Zip | 48162
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Country | US
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Telephone | 734-240-4100
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Fax | 734-240-4110
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Provider Business Mailing Address
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Address Line | 13740 SHADY LANE
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City | MONROE
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State | MI
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Zip | 48161
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Country | US
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Telephone | 734-384-5471
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Fax | 734-240-4110
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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 | 5302019930
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License Number State | MI
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