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General NPI Number Information
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NPI Number | 1851682983
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Entity Type | Individual
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Provider Name | FATIMA BADAMOSI R.PH.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2011
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Last Update Date | 04/23/2011
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Provider Practice Location Address
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Address Line | 37355 8 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48152-1148
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Country | US
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Telephone | 248-474-8657
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Fax |
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Provider Business Mailing Address
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Address Line | 7305 HAVERHILL CT S
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City | CANTON
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State | MI
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Zip | 48187-1044
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Country | US
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Telephone | 734-667-2699
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Fax | 734-667-2699
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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 | 5302037777
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License Number State | MI
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