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General NPI Number Information
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NPI Number | 1730710682
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Entity Type | Individual
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Provider Name | BARBARA RUDOWSKI RPH
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Gender | Female
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 1229 S PARKER ST
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City | MARINE CITY
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State | MI
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Zip | 48039-2331
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Country | US
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Telephone | 810-765-3576
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Fax | 810-765-5001
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Provider Business Mailing Address
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Address Line | 6383 BRIGGEMAN RD
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City | SAINT CLAIR
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State | MI
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Zip | 48079-3801
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Country | US
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Telephone | 586-489-5440
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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 | 5302028954
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License Number State | MI
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