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General NPI Number Information
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NPI Number | 1588016158
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Entity Type | Individual
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Provider Name | JOHN MULLER III PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 42931 WOODWARD AVE
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5035
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Country | US
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Telephone | 248-505-1361
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Fax |
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Provider Business Mailing Address
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Address Line | 3530 STONERIDGE CT
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-1096
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Country | US
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Telephone | 248-505-1361
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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 | 5302041135
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License Number State | MI
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