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General NPI Number Information
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NPI Number | 1942713581
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Entity Type | Individual
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Provider Name | SYLVIA CHRISTY WALDRON PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 11/06/2017
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Provider Practice Location Address
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Address Line | 75 S DEXTER ST
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City | PINCKNEY
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State | MI
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Zip | 48169-9071
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Country | US
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Telephone | 734-878-2047
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BRADFORD CT
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City | DEARBORN
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State | MI
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Zip | 48126-4169
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Country | US
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Telephone | 269-271-3240
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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 | 5302041600
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License Number State | MI
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