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General NPI Number Information
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NPI Number | 1972263879
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Entity Type | Individual
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Provider Name | FLOYD FIORINO VITALE RPH
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Gender | Male
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 17700 23 MILE RD
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City | MACOMB
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State | MI
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Zip | 48044-1154
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Country | US
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Telephone | 586-868-9053
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Fax | 586-868-9055
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Provider Business Mailing Address
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Address Line | 604 GRACE AVE
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-5105
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Country | US
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Telephone | 586-489-8392
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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 | 5302410653
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License Number State | MI
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