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General NPI Number Information
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NPI Number | 1649796368
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Entity Type | Individual
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Provider Name | MARK PETRI
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Gender | Male
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 08/15/2017
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Provider Practice Location Address
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Address Line | 49188 FRANCES DR
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City | MACOMB
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State | MI
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Zip | 48044-1638
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Country | US
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Telephone | 586-556-1468
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Fax |
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Provider Business Mailing Address
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Address Line | 51450 SHELBY PKWY
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City | SHELBY TWP
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State | MI
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Zip | 48315-1786
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Country | US
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Telephone |
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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 | 5302027576
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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