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NPI 1598363442

NPI 1598363442 : LALITHA VEERAPPAN : DETROIT, MI

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General NPI Number Information
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    NPI Number           |    1598363442
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    Entity Type          |    Individual 
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    Provider Name        |    LALITHA VEERAPPAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/13/2020
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    Last Update Date     |    12/03/2024
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Provider Practice Location Address
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    Address Line         |    2799 W GRAND BLVD 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48202-2689
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    Country              |    US
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    Telephone            |    248-563-8473
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    39381 MEDALLION CT APT 4105 
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    City                 |    FARMINGTON HILLS
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    State                |    MI
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    Zip                  |    48331-5814
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    Country              |    US
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    Telephone            |    609-781-3384
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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       |    28RI04042300
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    1835P2201X
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    Taxonomy Name        |    Ambulatory Care Pharmacist
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    License Number       |    5302416399
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    License Number State |    MI
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