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General NPI Number Information
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NPI Number | 1639310600
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Entity Type | Organization
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Legal Business Name | BIRDI, INC
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 43811 PLYMOUTH OAKS BLVD
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City | PLYMOUTH
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State | MI
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Zip | 48170-2539
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Country | US
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Telephone | 855-247-3479
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Fax | 877-395-4836
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Provider Business Mailing Address
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Address Line | 43811 PLYMOUTH OAKS BLVD
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City | PLYMOUTH
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State | MI
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Zip | 48170-2539
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Country | US
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Telephone | 855-247-3479
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Fax | 877-395-4836
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Authorized Official
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Title or Position | SR DIRECTOR OF PHARMACY
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Name | PETER FLECK
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Credential |
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Telephone | 906-202-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 5301011074
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License Number State | MI
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