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General NPI Number Information
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NPI Number | 1932617818
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Entity Type | Individual
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Provider Name | RICHARD ALAN FREYE PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 01/13/2018
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Last Update Date | 01/13/2018
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Provider Practice Location Address
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Address Line | 21400 PERRY AVE
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City | BIG RAPIDS
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State | MI
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Zip | 49307-9262
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Country | US
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Telephone | 231-796-3691
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Fax | 231-796-8722
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Provider Business Mailing Address
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Address Line | 20227 INDIAN DR
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City | PARIS
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State | MI
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Zip | 49338-9788
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Country | US
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Telephone | 231-592-9860
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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 | 5302025270
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License Number State | MI
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