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NPI 1699634022

NPI 1699634022 : BIRDI, INC. : PLYMOUTH, MI

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General NPI Number Information
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    NPI Number           |    1699634022
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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     |    01/21/2026
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    Last Update Date     |    01/27/2026
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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                  |    
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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                  |    
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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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        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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