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General NPI Number Information
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NPI Number | 1942974472
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Entity Type | Individual
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Provider Name | ALLISON STEIN
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Gender | Female
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Dates
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Enumeration Date | 08/07/2021
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Last Update Date | 07/30/2022
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Provider Practice Location Address
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Address Line | 108 W HIGHLAND RD
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City | HOWELL
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State | MI
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Zip | 48843-1159
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Country | US
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Telephone | 517-552-0205
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Fax |
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Provider Business Mailing Address
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Address Line | 22318 PONTIAC TRL
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City | SOUTH LYON
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State | MI
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Zip | 48178-1657
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Country | US
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Telephone | 248-486-5216
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Fax | 248-486-5460
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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 | 5302413628
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License Number State | MI
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