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General NPI Number Information
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NPI Number | 1821399502
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Entity Type | Individual
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Provider Name | AIMEE ADAMO RENNELL R.PH.
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Gender | Female
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 3097 S BALDWIN RD
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City | LAKE ORION
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State | MI
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Zip | 48359-1028
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Country | US
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Telephone | 248-393-4573
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Fax |
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Provider Business Mailing Address
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Address Line | 13255 MAPLE LAWN DR
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City | SHELBY TWP
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State | MI
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Zip | 48315-2305
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Country | US
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Telephone | 720-579-7029
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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 | 17672
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License Number State | CO
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