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General NPI Number Information
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NPI Number | 1699780205
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Entity Type | Organization
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Legal Business Name | HEALTH MAINTENANCE PHARMACIES INC.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 29877 TELEGRAPH RD SUITE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1332
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Country | US
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Telephone | 248-354-5600
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Fax | 248-354-0148
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Provider Business Mailing Address
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Address Line | 29877 TELEGRAPH RD
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1332
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Country | US
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Telephone | 248-354-5600
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Fax | 248-354-0148
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Authorized Official
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Title or Position | PHCIST
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Name | STEPHEN DALEHLAIN
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Credential |
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Telephone | 248-354-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301003583
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License Number State | MI
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