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General NPI Number Information
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NPI Number | 1821405457
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH BLOCK PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 9515 BIRCH RUN RD
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City | BIRCH RUN
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State | MI
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Zip | 48415
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Country | US
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Telephone | 989-624-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 647 BAYBERRY POINTE DR NW APT C
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City | GRAND RAPIDS
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State | MI
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Zip | 49534-4629
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Country | US
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Telephone | 810-691-7706
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5302039957
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License Number State | MI
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