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General NPI Number Information
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NPI Number | 1932751112
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Entity Type | Organization
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Legal Business Name | MENDELSON WARREN PHARMACY
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 600 FORT ST STE 100
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City | PORT HURON
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State | MI
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Zip | 48060-3942
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Country | US
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Telephone | 586-261-1960
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Fax |
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Provider Business Mailing Address
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Address Line | 500 STEPHENSON HWY STE 300
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City | TROY
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State | MI
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Zip | 48083-1118
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DAVID H MENDELSON
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Credential |
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Telephone | 586-261-1960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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