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General NPI Number Information
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NPI Number | 1649818071
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Entity Type | Individual
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Provider Name | EMMANUEL ORFALI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 47650 GRAND RIVER AVE
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City | NOVI
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State | MI
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Zip | 48374-1217
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Country | US
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Telephone | 248-374-9714
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Fax |
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Provider Business Mailing Address
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Address Line | 50332 BRIAR RIDGE LN
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City | NORTHVILLE
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State | MI
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Zip | 48168-6859
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Country | US
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Telephone | 734-644-3422
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 5302035425
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License Number State | MI
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