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General NPI Number Information
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NPI Number | 1851069405
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Entity Type | Individual
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Provider Name | ADAM AQEL DOCTOR OF PHARMACY
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Gender | Male
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2155 EAST PARIS AVE SE STE 220
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6195
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Country | US
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Telephone | 616-548-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 1080 SKYEVALE NE
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City | ADA
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State | MI
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Zip | 49301-8125
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Country | US
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Telephone | 616-206-4316
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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 | 5302413691
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License Number State | MI
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