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General NPI Number Information
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NPI Number | 1891382156
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Entity Type | Individual
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Provider Name | SUZANNE S SMITH RPH
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Gender | Female
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 1520 W CARO RD
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City | CARO
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State | MI
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Zip | 48723-9260
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Country | US
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Telephone | 989-673-7020
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Fax | 866-317-9946
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Provider Business Mailing Address
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Address Line | 1520 W CARO RD
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City | CARO
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State | MI
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Zip | 48723-9260
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Country | US
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Telephone | 989-673-7020
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Fax | 866-317-9946
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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 | 26017704A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302029886
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License Number State | MI
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