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General NPI Number Information
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NPI Number | 1679967038
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Entity Type | Individual
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Provider Name | REMY ONIMOE
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Gender | Male
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 12/07/2018
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Provider Practice Location Address
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Address Line | 16191 LIVERNOIS AVENUE
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City | SOUTHFIELD
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State | MI
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Zip | 48221
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Country | US
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Telephone | 313-651-9059
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Fax | 313-659-6965
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Provider Business Mailing Address
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Address Line | 3600 OAKWOOD BLVD
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City | MELVINDALE
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State | MI
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Zip | 48122-1150
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Country | US
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Telephone | 313-382-3996
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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 | 5302031320
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License Number State | MI
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