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General NPI Number Information
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NPI Number | 1639849482
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Entity Type | Individual
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Provider Name | ALEXANDER A RABABEH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 2300 HAGGERTY RD STE 1070
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-2185
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Country | US
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Telephone | 248-668-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 16459 JOHNSON CREEK DR
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City | NORTHVILLE
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State | MI
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Zip | 48168-8002
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Country | US
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Telephone | 248-719-5363
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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 | 5315216942
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License Number State | MI
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