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General NPI Number Information
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NPI Number | 1972321891
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Entity Type | Individual
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Provider Name | MICHELLE C MEALY RPH
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 6010 S EMERSON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-2901
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Country | US
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Telephone | 317-783-5325
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Fax |
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Provider Business Mailing Address
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Address Line | 421 N PENNSYLVANIA ST APT 1208
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-2439
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Country | US
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Telephone | 239-821-2118
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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 | PS26153
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH21872
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26030737A
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License Number State | IN
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