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General NPI Number Information
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NPI Number | 1851919880
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Entity Type | Individual
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Provider Name | MICHAEL BILTZ
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Gender | Male
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 4702 MILAN RD
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City | SANDUSKY
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State | OH
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Zip | 44870-8911
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Country | US
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Telephone | 419-627-7910
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Fax |
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Provider Business Mailing Address
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Address Line | 8717 STATE ROUTE 61
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City | BERLIN HEIGHTS
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State | OH
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Zip | 44814-9482
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Country | US
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Telephone | 419-577-8676
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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 | 03439756
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License Number State | OH
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