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General NPI Number Information
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NPI Number | 1831254267
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Entity Type | Organization
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Legal Business Name | ABUNDANT HEALTH PHARMACY
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 7561 BROCKWAY RD
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City | BROCKWAY
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State | MI
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Zip | 48097-3410
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Country | US
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Telephone | 810-387-9536
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Fax | 810-387-9647
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Provider Business Mailing Address
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Address Line | 7561 BROCKWAY RD
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City | BROCKWAY
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State | MI
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Zip | 48097-3410
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARM
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Name | KIMBERLY SINGELL
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Credential | RPH
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Telephone | 810-387-9535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301007978
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License Number State | MI
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