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General NPI Number Information
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NPI Number | 1952020810
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Entity Type | Organization
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Legal Business Name | MIDMICHIGAN HEALTH SERVICES
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 241 LAKE ST
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City | ROSCOMMON
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State | MI
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Zip | 48653-9203
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Country | US
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Telephone | 989-275-0009
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Fax | 989-275-0014
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Provider Business Mailing Address
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Address Line | 241 LAKE ST
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City | ROSCOMMON
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State | MI
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Zip | 48653-9203
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Country | US
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Telephone | 989-275-0009
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Fax | 989-275-0014
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Authorized Official
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Title or Position | PHARMACY SUPERVISOR
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Name | AMY M ADAMS
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Credential | PHARMD
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Telephone | 989-202-4605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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