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General NPI Number Information
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NPI Number | 1922522952
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Entity Type | Individual
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Provider Name | REGINA AMADI PHARM D
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Gender | Female
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 08/01/2017
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Provider Practice Location Address
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Address Line | 30785 ANN ARBOR TRAIL
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City | WESTLAND
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State | MI
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Zip | 48185
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Country | US
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Telephone | 734-469-2424
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Fax | 734-469-2428
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Provider Business Mailing Address
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Address Line | 3129 GOLFVIEW DR
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City | SALINE
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State | MI
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Zip | 48176-9245
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Country | US
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Telephone | 734-330-3262
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Fax | 734-429-9070
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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 | 5302029358
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License Number State | MI
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