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General NPI Number Information
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NPI Number | 1942166624
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Entity Type | Individual
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Provider Name | STELLAMARIS EMENIKE PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 5091 US 41 S
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City | HARVEY
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State | MI
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Zip | 49855-9001
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Country | US
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Telephone | 906-249-1441
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Fax | 906-249-9850
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Provider Business Mailing Address
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Address Line | 511 CASTLE DR APT C
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City | BALTIMORE
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State | MD
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Zip | 21212-2319
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Country | US
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Telephone | 240-971-6911
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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 | 5302418343
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License Number State | MI
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