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General NPI Number Information
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NPI Number | 1831203728
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Entity Type | Organization
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Legal Business Name | ADAM LIVONIA INC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 8810 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48150-4052
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Country | US
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Telephone | 734-261-4400
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Fax | 734-261-4803
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Provider Business Mailing Address
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Address Line | 8810 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48150-4052
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Country | US
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Telephone | 734-261-4400
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Fax | 734-261-4803
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Authorized Official
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Title or Position | OWNER
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Name | WANSA MAKKI
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Credential |
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Telephone | 313-231-2262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 5301008402
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License Number State | MI
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